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As a Columbia Pacific CCO provider, you may have specific questions for us. Below, you’ll find contact and procedural information for providers. If you are looking for specific forms and policies, visit our provider page and select your area. Please click on a topic below to get started.
Find the most convenient way to contact us, update your clinic information and sign up for updates from Columbia Pacific CCO.
Please call Provider Customer Service at 503-488-2822 or 855-722-8206 or TTY 711. Press option 3 for provider.
Columbia Pacific CCO notifies our provider network occasionally with alerts or urgent communications. To sign up for these alerts, email firstname.lastname@example.org and include your name and job title.
Thank you for your interest in joining Columbia Pacific’s provider panel!
CareOregon administers plan services for three Coordinated Care Organizations (CCO), including Columbia Pacific CCO, and a Medicare Advantage plan (D-SNP), supporting and enhancing sensible, localized, coordinated care.
If you are interested in becoming a contracted provider, please review our credentialing requirements to ensure you meet the qualifications. Credentialing requirements are outlined in our provider manuals:
If you meet credentialing requirements and would like to be considered for a contract or have additional questions, please complete the Contract Requests form here. Columbia Pacific CCO is committed to improving health equity by reducing health disparities historically associated with characteristics commonly linked to discrimination or exclusion.
Help our members and potential members get the right care and service they deserve, in a language they understand. From signing up eligible candidates to finding them a free air conditioner when it gets hot, you can find resources to provide the best service in the menus below.
Columbia Pacific CCO wants to help you and your patients have the best experience, which is why we help you coordinate live interpreters for patients who speak a language other than English. Please visit our language services page for resources like interpreter request forms, a language ID tool for your office, OHP “I speak” cards and more.
Health-related services (HRS) are CCO-optional services offered as a supplement to OHP-covered benefits. They are intended to help improve care delivery and overall member/community health and well-being. To learn more about HRS, visit our health-related services web page.
Columbia Pacific CCO Regional Care Teams (RCTs) offer providers a community of resources with a single point of contact for you and your patients. To learn more about these resources, visit our Care Coordination services page.
You can find instructions and options for various methods of submitting claims, receiving payments and remittance advices.
When submitting claims to Columbia Pacific CCO, you have two options:
The AMA recognizes electronic health care transactions as a cost saving, efficient way to do business and allows physicians to refocus resources on patient care. The links below provide information regarding various electronic transactions such as submitting claims, receiving payments and remittance advices.
CareOregon manages all physical and behavioral health claims processing for Columbia Pacific CCO. CareOregon provides a couple of options for electronic payment.
Stay up-to-date on quality metrics, fraud waste and abuse policies, and Model of Care training with the following tools.
Columbia Pacific CCO takes fraud, waste and abuse very seriously. If you suspect that benefits aren't being used correctly or want to report a case of waste, abuse or fraud, please contact EthicsPoint at 888-331-6524. You also can file a report online at EthicsPoint.
Providers should report any instance of FWA to Columbia Pacific CCO within three (3) days of discovery.
Providers must complete training designed to educate on ways to prevent, detect, and correct instances of FWA.
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