Clearinghouses

Clear One Health Plans accepts electronic claims from any clearinghouse that can connect with the clearinghouses we are affiliated with. Below are the clearinghouses Clear One accepts:

  • Medical Claims Processing Solutions, Inc. (MCPS)
  • RelayHealth

Common Submitters

  • Emdeon (WebMD)
  • McKesson
  • RelayHealth
  • Availity
  • Etactics
  • MiSys
  • Payer Connection

EDI Billing Numbers

MCPS submitters use Payor ID below:
  • Payor ID: ORD07 (for professional (837P)/institutional (837I) claims)
MCPS Clear One Healthy KidsConnect submitters use Payor ID below:
  • Payor ID: ORD24
RelayHealth Dubuque, IA submitters use CPID's below:
  • COHP (Medicare Advantage/Commercial) Claims
    • CPID: 3876 (for professional (837P) claims)
    • CPID: 4971 (for institutional (837I) claims)

  • COIHS (Medicaid) Claims
    • CPID: 4794 (for professional (837P) claims)
    • CPID: 4972 (for institutional (837I) claims)
RelayHealth Tulsa, OK submitters use Payor ID's below:
  • COHP (Medicare Advantage/Commercial) Claims
    • Payor ID: CCHP (for professional (837P)/institutional (837I) claims)
  • COIHS (Medicaid) Claims
    • Payor ID: COIHS (for professional (837P)/institutional (837I) claims)
Trusteed Plans Services Corporation submitters use Payor ID below (For dates of service 1/1/2010 and after):
  • Payor ID: ORD23 (for High Desert ESD claims ONLY)
QVI Risk Solutions submitters use Payor ID below (For dates of service through 12/31/2009):
  • Payor ID: 57117 (for professional (837P)/institutional (837I) claims)

Paper Claims Billing

Please use the applicable addresses below for sending in paper claims.

Medicare Advantage/Commercial Claims: PO Box 449
Linthicum, MD 21090-0449
COIHS (PH Tech) Claims: PO Box 5490
Salem, OR 97304
Healthy KidsConnect Claims: HKC Claims
PO Box 5930
Salem, OR 97304
High Desert ESD Claims: For dates of service through 12/31/2009
QVI Risk Solutions
PO Box 7199
Bend, OR 97708

For dates of service on or after 1/1/2010
Trusteed Plans Service Corporation (TPSC)
PO Box 2985
Tacoma, WA 98401-2985