Claims FAQ

Most claims are processed and paid within 2 weeks. Providers have the choice between receiving payment in the form of a check or electronically. (To learn more about electronic payment, click here.)

Note: PH Tech’s CIM application will no longer allow access for users with Internet Explorer 8 beginning May 18, 2016, and users with Internet Explorer versions 9 and 10 after June 18, 2016. We strongly recommend that users upgrade their browsers to Internet Explorer 11 or newer, or install and switch to the Google Chrome browser, in order to continue to safely access CIM without interruption after May 18, 2016. Find out more

Submit a Claim
FamilyCare Health recommends electronic claim submissions, which eliminate errors and speed up the claims process. Our electronic claims are processed through the Community Integration Manager (CIM) tool, which is managed by PH Tech, our third-party administrator. 

Access CIM 

Watch CIM training video

If you are a contracted provider with FamilyCare Health and need CIM access, please call us at 503-222-2880 or toll-free 800-458-9518. You can also use this form to request access. If you have difficulty using CIM, please call PH Tech CIM Technical Support at 503-584-2169 or email edi.support@phtech.com.

Your team can submit claims to either of our two EDI submitters: Emdeon or OptumInsight.  

•    For Emdeon EDI Submitters:
     PH Tech Payer ID: 93121 

     Group ID: H3818 (Medicare)
     Group ID: 218751 (Medicaid)

•    For OptumInsight EDI Submitters:
     Payer ID: PHR01 (Medicare)
     Payer ID: PHD01 (Medicaid)    

We do still accept paper claims using forms UB04 or CMS 1500. (We do not supply these forms.) Completed forms can be mailed to: 
FamilyCare Medicaid/CCO
PO Box 5930
Salem, OR 97304

FamilyCare Medicare
PO Box 5308
Salem, OR 97304

Code a Claim 
FamilyCare follows OHA coding guidelines. Please be sure your claims are entered correctly. 

Correct a Claim
Download this PDF for instructions on how to correct a claim.

Review a Claim
Download this PDF to request a review or reconsideration of a claim.

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