Oregon Health Plan Open Card

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Slade Thackeray

• March 22, 2022 19:02

Has anyone successfully billed Oregon Health Plan Open Card through Simple Practice? I'm trying to find a reasonable solution to a massive and complex system that doesn't really benefit the provider. 

Thank you! 

Slade Thackeray

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  Ryan J. Kopyar

  • August 25, 2022 00:21

  any updates here?

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  Slade Thackeray

  • August 25, 2022 15:41

  Ryan,

  I learned how to bill PacificSource, my local OHP CCO as an out of network provider. Which county do you practice in? If you are currently serving individuals on OHP, I might be able to help you start billing out of network through your local CCO.

  Thank you!

  Slade

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  Ryan J. Kopyar

  • August 25, 2022 15:54

  Awesome Slade! Thank you so much! I am waiting on my OHP to come through, I should be added any day now. I'll reach out shortly

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  Emma Stern

  • November 30, 2022 20:53

  Hello, I'd love to connect if either of you were able to figure out how to bill Oregon Health Plan Open Card through Simple Practice? Please let me know if you found anything.

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  Slade Thackeray

  • January 05, 2023 21:33

  Emma, 

  I recently hired a billing specialist. She has a back door to Open Card, but it is not through SimplePractice. Sorry!

  Slade

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  Megan Lesowski

  • March 26, 2023 17:32

  Hi was anyone able to figure out how to bill OHP Open Card? I have two clients who are interested in services and I would like to make this work for billing. 

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  Chris Doud

  • May 15, 2023 17:42
  • Edited

  Yes. Oregon Health Plan Open Card is managed by Oregon Health Authority. Billing OHP secondary is a different process than most other OHP CCOs and payers. To bill OHP OpenCard, you will need to bill OHA (ORDHS) and they are not in the Simple Practice system. You will need:

  • A DMAP number.
  • Their payer ID: ORDHS. Address: PO Box 14955, Salem, OR 97309.
  • You must be registered with OHA. Instructions on enrolling here: www.oregon.gov/oha/hsd/ohp/pages/provider-enroll.aspx

  • From there you can either print claims and submit through a clearinghouse like Office Ally.
  • Or you can enter in the information for each claim individually through OHA's portal here: www.or-medicaid.gov/

  • You'll likely have to sign an agreement between the the clearinghouse and SimplePractice if you want to submit batch claims. For Office Ally, that is this form:  https://cms.officeally.com/OfficeAlly/Forms/EDI/Medicaid_OR_EDI_ERA_ENR_PKT_20180817.pdf

  It's sort of a tedious process. May be worth it to hire a biller. 

   

   

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