CareOregon
CareOregon is a payer organization operating in Oregon. For an ASC, what matters isn't the logo. It's how CareOregon pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete CareOregon analysis
Tell us where to send it. Our team will prepare an analysis of CareOregon covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How CareOregon pays
See how CareOregon reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
CareOregon's presence spans Oregon. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for CareOregon and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive CareOregon's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking CareOregon up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with CareOregon
- Payer ID
- 93975 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to CareOregon through a clearinghouse.
- Eligibility verification
- Coverage and benefits for CareOregon members are verified before the date of service, through a clearinghouse using payer ID 93975or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with CareOregon directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of CareOregon the way it pays.
- What is CareOregon's payer ID?
- CareOregon's electronic payer ID is 93975. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to CareOregon through a clearinghouse.
- How do ASCs verify eligibility for CareOregon members?
- Eligibility and benefits for CareOregon members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 93975) or through the payer's provider portal.
- Does CareOregon require prior authorization for ASC procedures?
- Prior-authorization requirements for CareOregon are set per plan and per procedure. Confirm whether an authorization is required with CareOregon directly before the date of service.
- What type of payer is CareOregon?
- CareOregon is a payer organization operating in Oregon.
- How does CareOregon compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where CareOregon pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is CareOregon paying my ASC below market?
- Put your own CareOregon contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.