Transact with Providence Health Assurance (Oregon Medicaid) using Stedi’s modern, JSON-based APIs
Not supported
Eligibility checks 270/271
Verify member coverage and benefits by sending real-time and batch eligibility checks to Providence Health Assurance (Oregon Medicaid).
Not supported
Claim status checks (276/277)
Check on the status of a claim previously submitted to Providence Health Assurance (Oregon Medicaid) in real-time by sending a claim status check (276/277).
Supported
Dental claims (837D)
Submit dental claims to Providence Health Assurance (Oregon Medicaid) and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payment (835 ERA)
Receive electronic remittance advice (ERAs) from Providence Health Assurance (Oregon Medicaid) to review full payment details.
Supported
Professional claims (837P)
Submit professional claims to Providence Health Assurance (Oregon Medicaid) and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims (837I)
Submit institutional claims to Providence Health Assurance (Oregon Medicaid) and receive 277 claim acknowledgments asynchronously.
Not supported
Coordination of benefits checks (COB)
Submit coordination of benefit checks to Providence Health Assurance (Oregon Medicaid) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.