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New Medicaid Enrollment Requirement for Attending Providers on Institutional Claims Submitted to CareOregon

October 19, 2015

Effective November 16, 2015, the Health Systems Division of the Oregon Health Authority will begin requiring that all attending providers appearing on UB04 institutional claim forms are enrolled with an Oregon Medicaid ID. This will impact any facility billing CareOregon with attending providers who have not yet been issued an Oregon Medicaid ID. The denial reason on the remittance advice will read: 16: Claim/service lacks information which is needed for adjudication; 208: National Provider Identifier – Not Matched; Free form: Attending Provider NPI must be enrolled with Oregon Medicaid.

You can find a copy of our Oregon Medicaid ID Application form here.