Learn how to exchange HIPAA-compliant health care transactions with OHA.
If you submit 15 or more claims a month, EDI claim submission may be right for you. Questions? Contact EDI Support Services (888-690-9888).
Choose how will you submit your EDI transactions
You can submit them directly to OHA using your current office management software, or contract with a service that transmits the EDI claims for you (e.g., a clearinghouse or billing service).
Register and test with OHA
To exchange EDI transactions with OHA, you must become a registered EDI Trading Partner, authorize the service that will submit transactions for you (if applicable), and choose the transactions you want to exchange with OHA.
Once OHA approves your completed Trading Partner Agreement, EDI Support Services will contact EDI technical contact and provide them with specific instructions, logins and passwords to complete business-to-business (B2B) testing to make sure the transactions you submit can be processed by our system.
Exchange EDI transactions with OHA
As with paper claims, before submitting EDI claims to OHA, you must verify that the client was eligible on the date services were provided.
Keep us informed
You must notify OHA of any material changes within 10 business days of the change. To do this, submit a new TPA (OHA 2080). OHA will only accept updates signed by the authorized signer on your current TPA. Material changes include changes to:
- Authorized signers, transactions and EDI submitter
- Any related contact information
- Your Oregon Medicaid ID, business name or Tax ID