Oregon Health Plan EDI Production Questions and Answers
Oregon Health Plan EDI Production stage can be started only after all set-up procedures are passed and testing is completed. Oregon Health Plan EDI Production is the next step for electronic claims submitting. Parties that passed registration and testing successfully can be sure that the further process of claims exchange be smooth.
Find some FAQs concerning Oregon Health Plan EDI Production below.
I have been blacklisted from the Oregon Health Plan SFTP server in the past due to unsuccessful logon attempts. How can I prevent this from happening? – Be sure to change passwords before they expire. Make sure that any software you use has “retries” set to zero.
How does Oregon Health Plan handle scripts that run to submit transactions and/or pick up response transactions? – Oregon Health Plan does not have a policy against running scripts, but Oregon Health Plan strongly advises against it. This may be one of the reasons some users frequently get blacklisted.
Scripts do not typically address password requirements, resulting in calls to reset the password. If you do not disable the script, Oregon Health Plan cannot easily reset the password.
Does my password to the mailbox ever expire? – Passwords expire every 90 days. No notifications are sent. This time starts from the time you are assigned a password and you change it for the first time.
What are the maximum transactions per file? – Claims files should be limited to 30,000 claims. It is recommended that large transmissions be sent before Noon Thursday to ensure processing before the Friday financial cycle begins.
For the 999, what is the turnaround time for your reports? – Around 10 minutes.
I did not receive a response 999 or TA1. Should I re-submit my transactions? – No. Please contact EDI Support (DHS.EDISupport@state.or.us) if you have not received a 999, TA1, or NCPDP Response file within an hour. Resending the file, before the issue is researched, may result in duplicate claims.
Since we are required to enter a physical address in our claim submissions, how is Oregon Health Plan able to send payments to our mailing address? – Oregon Health Plan does not use addresses that come in with the claim; instead, it sends payment to the Mail-to address in its system (provided when you enrolled with Oregon Health Plan).