Oregon Medical

Medicare of Oregon  

  • Direct Link
  • Claims processed through Noridian (800) 967-7902
  • Must have Submitter ID in Claimstaker
  • Both forms need to be filled out
  • These forms include claim and ERA setups
  • Payer ID – 00835

Online Registration (login required)

Online Registration Instructions

OLD Medicare Enrollment Form
OLD CMS Enrollment Form

Medicaid of Oregon

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SKOR0

Medicaid Enrollment Form

Regence BCBS of Oregon

  • Driect Link
  • No Enrollment forms
  • Set up in Claimstaker
  • Payer ID – 00851

 

LifeWise Health Plan

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – 93093

LifeWise Enrollment Form

Providence of Oregon Health Plan

  • Emdeon Link
  • Does not require enrollment
  • Enter into GEMS-Payer ID’s SX133 and SX187  
  • There are no enrollment Forms that need to be filled out
  • Nothing to setup in Claimstaker
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011

 

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region D)
  • ASHN

National Enrollment Forms