These submitter checklists are for use with the commercial, contracted Coordinated Care Organizations and other payer programs.
The attached files below are the check lists for EDI customers of PH Tech.
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Capitol Dental 837D Submitter Check List.pdf
60 KB Download
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Atrio 837I Submitter Check List.pdf
80 KB Download
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Access Dental 837D Submitter Check List.pdf
60 KB Download
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Atrio 837P Submitter Check List.pdf
80 KB Download
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Dental3 837D Submitter Check List.doc.pdf
80 KB Download
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EASTERN OREGON CCO INST EFF 0901.pdf
80 KB Download
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AllCare CCOA Dental 837D EFF 20130701 Check List.pdf
200 KB Download
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EASTERN OREGON CCO EFF 0901.pdf
80 KB Download
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Family Care CCO 837I Submitter Check List.pdf
80 KB Download
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Family Care CCO 837P Submitter Check List.pdf
80 KB Download
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Family Care Medicare 837I Submitter Check List.pdf
80 KB Download
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Family Care Medicare 837P Submitter Check List.pdf
80 KB Download
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HealthShare CCO Dental 837D EFF 20140101 Check List.pdf
200 KB Download
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HEALTHSHARE OF OREGON CCOE INST EFF 0901.pdf
80 KB Download
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FamilyCare CCO Dental 837D EFF 20131001 Check List.pdf
200 KB Download
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IHN CCO Dental 837D EFF 20131001 Check List.pdf
200 KB Download
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HEALTHSHARE OF OREGON CCOE EFF 0901.pdf
80 KB Download
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HEALTHSHARE OF OREGON CCOE PA REF EFF 0901.pdf
80 KB Download
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Marion County Indigent CD 837P Submitter Check List.pdf
60 KB Download
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Managed Dental 837D Submitter Check List.pdf
60 KB Download
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MULT TREATMENT FUND 837P Submitter Check List.pdf
60 KB Download
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Project Access 837I Submitter Check List.pdf
80 KB Download
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MULTNOMAH OTHER 837P Submitter Check List.pdf
80 KB Download
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WVCH CCO 837I Submitter Check List.pdf
80 KB Download
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WVCH CCOA CDC 837D EFF 20131001 Check List.pdf
80 KB Download
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Primary Health CCO Dental 837D EFF 20131001 Check List.pdf
300 KB Download
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Project Access 837P Submitter Check List.pdf
50 KB Download
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WVCH CCO 837P Submitter Check List.pdf
80 KB Download
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WOAH MH EFF 0801.pdf
80 KB Download
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WOAH MH INST EFF 0801.pdf
80 KB Download
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Aspire Health Plan 837I Submitter Check List.pdf
200 KB Download
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Aspire Health Plan 837P Submitter Check List.pdf
200 KB Download
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CMHO General Fund 837P Submitter Check List.pdf
60 KB Download
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YAMHILL CCO EFF 1101.pdf
80 KB Download
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YAMHILL CCO INST EFF 1101.pdf
80 KB Download
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WCHHS-GF 837I Submitter Check List.pdf
80 KB Download
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WCHHS-GF 837P Submitter Check List.pdf
80 KB Download
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PRIMARY HEALTH of JOSEPHINE COUNTY CCO Medical - Eff 04012017.pdf
80 KB Download
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PRIMARY HEALTH of JOSEPHINE COUNTY CCO Medical INST EFF 0901.pdf
80 KB Download
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PRIMARYHEALTH of JOSEPHINE COUNTY CCO MH INST EFF 0901.pdf
80 KB Download
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PRIMARYHEALTH of JOSEPHINE COUNTY CCOE EFF 0901.pdf
80 KB Download
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UMPQUA HEALTH ALLIANCE CCO INST Eff 20171216 - Clearinghouse.pdf
80 KB Download
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UMPQUA HEALTH ALLIANCE CCO INST Eff 20171216.pdf
200 KB Download
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UMPQUA HEALTH ALLIANCE CCO PROF Eff 20171216.pdf
200 KB Download
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UMPQUA HEALTH ALLIANCE CCO PROF Eff 20171216 - Clearinghouse.pdf
80 KB Download
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