Medical Billing Built for Oregon Healthcare Providers
The Oregon Health Plan (OHP), Oregon's Medicaid program, uses a delivery model that's genuinely unusual among states: regional Coordinated Care Organizations (CCOs) — networks like Health Share of Oregon in the Portland metro area and PacificSource Community Solutions elsewhere — hold the local contract for physical, behavioral, and dental care in their region rather than a handful of statewide managed care plans competing everywhere. Oregon was also one of the earliest ACA Medicaid expansion states, extending coverage effective January 2014, so OHP eligibility reaches a large share of the state's population. On the commercial side, Regence BlueCross BlueShield of Oregon and Moda Health, a Portland-based insurer, carry significant market weight alongside PacificSource and Providence Health Plan. ZenoMedix RCM builds Oregon billing around the specific CCO your patients fall under rather than assuming a one-size-fits-all statewide Medicaid plan.
Whether you're in Portland, Salem, Eugene or anywhere else in Oregon — ZenoMedix RCM provides the same certified billing expertise with deep knowledge of local payer rules and Oregon Medicaid requirements.
Major Payers We Work With in Oregon
Oregon Medicaid
The Oregon Health Plan (OHP) is delivered through regional Coordinated Care Organizations (CCOs) — such as Health Share of Oregon in the Portland metro area and PacificSource Community Solutions in other regions — rather than statewide managed care plans, and Oregon's early 2014 ACA Medicaid expansion extended OHP eligibility to a large share of the state.
HIPAA Compliance
Full HIPAA compliance for all OR providers. We stay current with all Oregon billing regulations. View HIPAA Statement →
Every City in Oregon — We're Your Billing Team
Remote billing means you get the same expert service whether you're in a major metro or a smaller community across Oregon.
75+ Specialties Served Across Oregon
Each specialty has a dedicated billing team trained on its CPT codes, modifiers, and payer-specific requirements in Oregon.
Everything Your Practice Needs — Nothing You Don't
Oregon Billing FAQ
Yes. The Oregon Health Plan is delivered through regional Coordinated Care Organizations rather than one statewide plan, so a Portland-area patient is typically covered through Health Share of Oregon while a patient elsewhere may fall under PacificSource Community Solutions or another regional CCO. We confirm the correct CCO before submitting rather than guessing.
Our Oregon coding team regularly bills Regence BlueCross BlueShield of Oregon, Moda Health, PacificSource, and Providence Health Plan, tracking each payer's specific documentation and modifier requirements so claims go out clean the first time.
Often, yes. Oregon expanded Medicaid effective January 2014, one of the earliest states to do so, and OHP eligibility reaches a large share of the population. We verify eligibility and the correct CCO assignment up front so those patients don't get billed or coded incorrectly.
Our compliance team tracks Oregon-specific OHP and CCO rule changes as they happen, and we handle provider credentialing and re-credentialing with Oregon payers so nothing lapses on your end.
We serve Oregon practices statewide — Portland, Salem, Eugene, Gresham, Hillsboro, Beaverton, Bend, and everywhere in between — with the same certified coding team regardless of metro size or CCO region.