Most claims are processed and paid within 2 weeks. Providers can choose between receiving payment in the form of a check or electronically. (To learn more about electronic payment, click here.)Submit a Claim
FamilyCare Health recommends electronic claim submissions, which eliminate errors and speed up the claims process. Our electronic claims are processed through the Community Integration Manager (CIM) tool, which is managed by PH Tech, our third-party administrator.
If you are a contracted provider with FamilyCare Health and need CIM access, please call us at 503-222-2880 or toll-free 800-458-9518. You can also use this form to request access. If you have difficulty using CIM, please call PH Tech CIM Technical Support at 503-584-2169 or email firstname.lastname@example.org.
Your team can submit claims to either of our two EDI submitters: Emdeon or OptumInsight.
• For Emdeon EDI Submitters:
PH Tech Payer ID: 93121
Group ID: H3818 (Medicare)
Group ID: 218751 (Medicaid)
• For OptumInsight EDI Submitters:
Payer ID: PHR01 (Medicare)
Payer ID: PHD01 (Medicaid)
We do still accept paper claims using forms UB04 or CMS 1500. (We do not supply these forms.) Completed forms can be mailed to:
FamilyCare Health Medicaid/CCO
PO Box 5930
Salem, OR 97304
FamilyCare Health Medicare
PO Box 5308
Salem, OR 97304
Code a Claim
FamilyCare Health follows OHA coding guidelines. Please be sure your claims are entered correctly.
Correct a Claim
Download this PDF for instructions on how to correct a claim.
Review a Claim
Download this PDF to request a review or reconsideration of a claim.