Providers - New to EDI?
First, read our Oregon Health Plan electronic business practices guide. If you do not use a billing service or clearinghouse, and submit a small number of claims per week, the Provider Web Portal may be right for you.
If you still want to sign up for EDI, follow these steps:
- If you use a clearinghouse, see if yours is registered with OHA. This list does not imply any endorsement by OHA of services or products listed.
- Once you know who will submit EDI transactions for you, complete OHA's Trading Partner Agreement (TPA) for Electronic Health Care Transactions (OHA 2080, revised 8/16). Both the provider and EDI submitter must read and sign this form. To learn more, read How to complete the TPA.
- Sign the form (do not use black ink). Make a copy for your records.
- Mail the form with original signature to EDI Support Services. OHA does not accept forms by fax or email, and does not accept stamped signatures.
If any required fields are incomplete, OHA will contact the authorized signer. Once your TPA is approved, OHA will email the technical contact listed in Part 5 of your TPA to begin testing.
Once testing is complete:
Sign up to receive EDI updates to find out about changes that may affect your EDI transactions to OHA, such as:
- Updates to Oregon MMIS technical specifications
- Oregon MMIS downtime notices
- Updates to the TPA form
Notify OHA of any material changes by submitting a new TPA (OHA 2080)
Do this within 10 business days of the change. The new TPA (OHA 2080) must be signed by the authorized signer on your current TPA. (If your EDI submitter has changed, your new EDI submitter must also sign). Material changes include changes to:
- Authorized signers, transactions and EDI submitter
- Any related contact information
- Your Oregon Medicaid ID, business name or Tax ID