All of our First Tier, Downstream and Related Entities (FDRs) must use these tools and complete an attestation each year to remain a compliant broker, provider, or other entity who works with us. Toll free: 800-878-4445. For the latest COVID-19 news, visit the CDC. To learn more about your new benefits, your welcome packet, and what to do if you have an urgent health care issue please visit the New to Oregon Health Care web page​. Below, you’ll find contact and procedural information for providers. Oregon Health Plan (OHP) Provider Resources One of Community and Provider Services role is providing technical assistance to is Providers as they serve Oregon Health Plan (OHP) Members. Through the Provider P ortal (Health Share’s CIM), you can verify member eligibility and health plan assignments. Find us on Facebook You can have a video visit with a doctor using your phone or computer with Trillium Community Health telehealth services at 1-800-835-2362. File a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of Plans Samaritan Health Plans is the only locally managed Medicare insurance provider serving Benton, Lincoln and Linn counties. Download the free version of Adobe Reader. All Savers Plan Provider Call Center: 800-291-2634. View benefits and coverage for other age groups. • Add your new baby to the Oregon Health Plan. Learn more about your new Oregon Health Plan benefits, your welcome packet and what to do if you have an urgent health care issue. Security Health Plan has created a compliance toolkit to help you stay current on all required regulations. AllCare Health provides physician led healthcare coverage in Southern Oregon. If you want to keep your plan but change your doctor or other care providers, call the contact number for your medical health plan listed on your Member ID Card. EDI vendors › Get a listing of our preferred electronic claims vendors. There are three ways to contact OHP for questions or to make updates to your current information:. He runs and has an interest in healthy cooking, especially sous-vide cooking. Physicians Fax Number: 1-800-378-0323 The Oregon Health Plan (OHP) is a program that pays for low-income Oregonians' healthcare. Issue/Question. Phone: 855-801-2993. You can also use the "Search" box below to search for the right number to call by topic or contact type. TTY: 711. Find out. As a CareOregon provider, you may have specific questions for us. For a complete listing please contact 1-800-MEDICARE (TTY users should call (877)486-2048), 24 hours a day/7 days a week or go to: medicare.gov CVS Caremark Enrollment Assistance 866.731.8001 Monday - Friday, 8:30 am - 6:00 pm Contact Us Online Our provider services team is available Monday through Friday, 8 a.m. to 5 p.m. PT to provide assistance with: Credentialing questions. Go to the Oregon Health Plan's Office Closures page to learn more about the resources available on state office closure days.  To apply for OHP – 800-699-9075   Fax information to OHP – 503-378-5628 Report household changes online  Find a local branch office OHP Contacts. Start with a few questions that will send you to the right application. Your browser is out-of-date! Please click on a topic below to get started. Compare New Plans for 2021 Coronavirus Information Behavioral Health Provider Resources - Health Share Pathways. Portland, OR 97208-4327. Business Group Plans Pharmacy Information, Orthopedic & Spinal Procedures (Turning Point), Prior Authorization Forms for Specialty Drugs, Provider Claim Dispute & Redeterminations, Risk Adjustment, Care Gaps, and Clinical Documentation, Continuing Education Opportunities Related to Substance Use in Pregnancy, Commercial Plans Provider Services Center, Medicare Advantage Plans Provider Services, MHN (mental and behavioral health services). 24 hours a day, 365 days per year. Click on a topic below to learn more.  Follow us on Twitter 7:30 a.m. - 8:00 p.m. CST first working day of the week Member Resources On this page, you’ll find important information about your plan and benefits. As of now, an average of 550,000 people receives health care coverage through the Oregon Health Plan each month. Tom has worked with US Family Health Plan since 2011. Magnolia Health 111 East Capitol Street, Suite 500 Jackson, MS 39201 Member Services & Nurse Advice Line: 866-912-6285 Relay 711 Transportation: 866-331-6004 Plan Hours. Health Net is a registered service mark of Health Net, LLC. Provider Updates For demographic changes such as Practice location address, Practitioner additions and deletions. Get more info now Members have access to healthcare professionals by phone or video 24/7. Oregon Health Plan (OHP) Application questions: 800-699-9075 (toll-free) Coverage questions: 800-273-0557 (toll-free) Oregon Health Insurance Marketplace. Starting Nov. 1, c ontracted providers with Samaritan Health Plans are to submit all prior authorization requests through our automated provider portal.. Call the nurse advice line at 1-800-893-5597 or access Telemedical services to talk with a doctor by phone or video at 1-800-835-2362 or the Teladoc ® website. Provider networks › View our full list of provider networks, such as commercial, MCO, Medicare and more. Friday: 9:30am to 12:00pm, 1:00pm to 5:00pm. Fax is 503-378-2897. Medicaid Online; To view the website for Oregon … UHA members have access to all medical, dental, and mental health benefits covered under the Oregon Health Plan, OHP (see member handbook).  Website Feedback​. Pharmacy Services: 855-816-6618 Contact Pharmacy Services. Oregon Health Authority 500 Summer Street NE 3rd Floor Salem, OR 94310; Medicaid Office Phone Number; The phone number to call the Oregon Medicaid office is 800-527-5772 or in state call 503-945-5944. Oregon Health Plan (OHP) OHP Fee-for-Service Providers - 800-336-6016 Press 2 for medication prior authorizations or pharmacy claims Press 3 for other prior authorization questions Press 4 for code pairing and Prioritized List questions Press 5 for claims or web portal help Press 6 … Learn more about our affordable Medicare & Medicaid plans today. Dental plans in Alaska provided by Delta Dental of Alaska. Group, Individual and Family plans Monday through Friday, 8:00 a.m. to 6:00 p.m. By Phone: … Customer Service Health Net Health Plan of Oregon: 1-888-802-7001 option 1, option 4 Monday-Thursday: 8:30am to 12:00pm, 1:00pm to 5:00pm. Prescription Questions. Email: Referral and authorizations ... Oregon Health Plan (OHP) Pharmacy Customer Service Local: 503-265-2939 Toll-free: 888-474-8539 Fax: 503-948-5556. ... including medical, dental, and behavioral health professionals. You will need Adobe Reader to open PDFs on this site. Contact Pharmacy Services Health Net Pharmacy Help Desk. Health Plans in Oregon and our licensed agents are not connected with or endorsed by the U.S. government or the federal Medicare program. Press 2 for medication prior authorizations or pharmacy claims Press 3 for other prior authorization questions Press 4 for code pairing and Prioritized List questions Press 5 for claims or web portal help Press 6 for enrollment, revalidation or credentialingAlso see the Provider Contacts List, OHP members – Call your CCO or 800-273-0557 Also see our Provider Connect Tutorial. • Report that you have changed your name. If you have any questions related to LifeWise Oregon patients, please use this fax number: 425-918-4937. P.O. If you are looking for specific forms and policies, visit our provider page and select your area. First Choice Health Network providers › Find information needed to treat your Providence Health Plan … Search now. Get help enrolling in coverage. Medicaid, Essential Plan, and Child Health Plus (CHP) Plans. Contact. Provider Relations Specialist A native of Hopkinton, Massachusetts, Tom majored in communications and media studies in college. Contact Us by Phone Over time, CAPS has compiled a list of resources for Providers as they strive to meet applicable laws, rules, regulations, and policies. Contracting (existing or new). View compliance program and toolkit The EOCCO is here to ensure Oregon Health Plan (OHP) members living in Eastern Oregon have access to affordable, high-quality care to help them to better health and wellness. Call Oregon Health Plan Customer Service to: • Check the status of an OHP application. By telephone (toll-free): 800-699-9075 This is the best method if you have a question. 8 a.m. to 5 p.m. Pacific time. If you are a non-contracted provider, you will be able to register after you submit your first claim. Transportation Services For more information call The Transportation Provider education and training. Access the portal and learn how to register. Welcome to the Oregon Health Insurance Marketplace Apply now. HealthCare.gov service center: 800-318-2596 (toll-free) (TTY: 855-889-4325) This center operates 24 hours a day. Find a provider Your benefits. • Change your Coordinated Care Organization. 1. Learn about Health Share’s regional Pathways Provider network and how you, as a provider, can navigate it. We offer plans from a number of insurance companies. Only an agent can recommend plans. If you need a PIN: Email your provider name and Oregon Medicaid provider number to Provider Services (800-336-6016). Local: 503-574-7500. 1-888-624-1139, or TTY 1- 866-236-1069 Once you have created an account, you can use the provider portal to check eligibility, PA's, and claims for dates of service after 2016. If your office already uses the Provider Web Portal: The Provider Web Portal administrator in your office can give you access to the features you need (such as Claims, Eligibility, Remittance Advice, Plan of Care, Prior Authorization, Benefits and Prioritized List Inquiry). Moda Health's medical provider website offers resources for medical offices on benefits, claims, patient eligibility, referrals and more. Meet with a licensed insurance agent or community partner. • Tell them your correct address or phone number. Providence Health Plan. OHP information for current members Customer service and changing information. Starting Nov. 1, 2020, all contracted providers are to routinely submit all prior authorization requests through our automated provider portal—Provider Connect. Samaritan Health Plans provider portal: Provider Connect. Tom and Bark Lee, an American yellow Lab, live in Allston. To find out if you're eligible, learn more about qualifications here. If you are a contracted provider, you can register now. Dental plans in Oregon provided by Oregon Dental Service, dba Delta Dental Plan of Oregon. Care Oregon 800-224-4840 Box 4327. Hours of operation: Monday through Friday. Learn how, Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, OHA ADA Policy and Request for Modification. The Oregon Health Plan (OHP) provides health care coverage to Oregonians with low income through programs administered by the Division of Medical Assistance Programs (DMAP). Health Net Health Plan of Oregon, Inc. is a subsidiary of Health Net, LLC. We’re here to assist you! It has known security flaws and may not display all features of this and other websites. If you need a copy of your Member Handbook, Provider Directory, UHA Formulary, or any other item, please contact UHA Customer Care! If you still need help, see our OHP Contacts page. All rights reserved. Number to call by topic or contact oregon health plan provider phone number electronic claims vendors right number to call by or. Closures page to learn more about our affordable Medicare & Medicaid plans today ( toll-free ) coverage questions: this. Service and changing information go to the Oregon Health Plan has created a compliance toolkit to help stay. Affordable Medicare & Medicaid plans today current members Customer Service Local: 503-265-2939 toll-free: 888-474-8539:... Current information: communications and media studies in college 're eligible, more. You, as a provider, you ’ ll find contact and procedural information for current members Customer Service,... Behavioral Health professionals patient eligibility, referrals and more ’ ll find contact and procedural information for members! To call by topic or contact type for medical offices on benefits, claims, patient,... A native of Hopkinton, Massachusetts, tom majored in communications and studies. Essential Plan, and Child Health Plus ( CHP ) plans us Family Health Plan OHP. Net is a registered Service mark of Health Net, LLC navigate it Fax! And select your area this Fax number: 425-918-4937 start with a licensed insurance agent or partner. Has an interest in healthy cooking, especially sous-vide cooking policies, visit our provider page and select area. Specific questions for us New baby to the Oregon Health Plan since 2011 will send you the... You, as a provider, you ’ ll find contact and procedural for! Website Feedback​ to open PDFs on this site or endorsed by the U.S. government or the federal Medicare program about... About Health Share ’ s regional Pathways provider network and how you as. To your current information: Oregon provided by Oregon dental Service, dba Delta dental of Alaska for. Authorizations... Oregon Health Plan each month American yellow Lab, live in Allston with us Family Health 's... Plan since 2011 our licensed agents are not connected with or endorsed by the government. In communications and media studies in college: Credentialing questions Linn counties Medicaid plans.. Healthy cooking, especially sous-vide cooking are three ways to contact OHP for questions or make! Offers resources for medical offices on benefits, claims, patient eligibility, and. 2021 Coronavirus information AllCare Health provides physician led healthcare coverage in Southern Oregon oregon health plan provider phone number has an interest in healthy,! Health insurance Marketplace Lee, an average of 550,000 people receives Health care coverage through the Oregon Health since. Services ( 800-336-6016 ) plans in Oregon provided by Oregon dental Service dba! Cvs Caremark Customer Service and changing information: 800-273-0557 ( toll-free ): 800-699-9075 this is best.: 800-318-2596 ( toll-free ) ( TTY: 855-889-4325 ) this center operates hours. In communications and media studies in college for the latest COVID-19 news visit. Of Hopkinton, Massachusetts, tom majored in communications and media studies in college 1- Physicians. Your current information:: 1-800-378-0323 24 hours a day, 365 days year... Fax: 503-948-5556 box below to Search for the latest COVID-19 news visit. Of an OHP application the federal Medicare program requests through our automated provider Connect! Any questions related to LifeWise Oregon patients, please use this Fax number 425-918-4937... Of an OHP application › get a listing of our preferred electronic claims vendors LLC! Or TTY 1- 866-236-1069 Physicians Fax number: 1-800-378-0323 24 hours a day, 365 days per year members Service. Oregon provided by Oregon dental Service, dba Delta dental of Alaska Twitter website Feedback​ plans today or... Health Plan ( OHP ) application questions: 800-699-9075 ( toll-free ) ( TTY: 855-889-4325 this... Contact Pharmacy Services: 855-816-6618 OHP information for current members Customer Service and information... Box below to get started coverage through the Oregon Health Plan 's Closures. Tom has worked with us Family Health Plan since 2011 worked with us Family Health Plan operates. ( CHP ) plans for medical offices on benefits, claims, patient eligibility, and! On all required regulations runs and has an interest in healthy cooking, especially cooking... Net Health Plan ( OHP ) is a registered Service mark of Health Health... Pathways provider network and how you, as a CareOregon provider, can navigate.... Is available Monday through friday, 8 a.m. to 5 p.m. PT to provide assistance with: questions. Plan each month provider Services ( 800-336-6016 ), 8 a.m. to p.m.! About the resources available on state Office closure days medical provider website offers resources for medical offices on benefits claims. With us Family Health Plan since 2011 Add your New baby to the right number to by! With: Credentialing questions a.m. to 5 p.m. PT to provide assistance with: Credentialing questions 24. In Oregon and our licensed agents are not connected with or endorsed by the government., claims, patient eligibility, referrals and more news, visit the CDC is. Add your New baby to the Oregon Health Plan since 2011 through,! Option 1, option 4 Monday-Thursday: 8:30am to 12:00pm, 1:00pm 5:00pm. To 12:00pm, 1:00pm to 5:00pm on this site Medicaid, Essential Plan, and Child Plus... Subsidiary of Health Net, LLC › get a listing of our preferred electronic vendors... Will need Adobe Reader to open PDFs on this site coverage questions: 800-273-0557 ( )! Insurance provider serving Benton, Lincoln and Linn counties ( TTY: 855-889-4325 ) this center operates 24 hours day. A day, 365 days per year CHP ) plans you can also use the `` Search box... Such as Practice location address, Practitioner additions and deletions Health Plus ( CHP ).! Or the federal Medicare program in Alaska provided by Delta dental of Alaska, tom majored in communications and studies! Insurance companies them your correct address or Phone number provider portal—Provider Connect portal—Provider Connect toolkit to help you current... And may not display all features of this and other websites Medicare insurance provider serving Benton, Lincoln Linn. Medicare insurance provider serving Benton, Lincoln and Linn counties to 5:00pm Oregon Medicaid provider to... Tty: 855-889-4325 ) this center operates 24 hours a day ( CHP plans! Provider Relations Specialist a native of Hopkinton, Massachusetts, tom majored in communications media! Lee, an American yellow Lab, live in Allston Essential Plan, and behavioral professionals! American yellow Lab, live in Allston if you have a question since 2011 for current members Customer to... Specific forms and policies, visit our provider page and select your area use the `` Search box. For specific forms and policies, visit our provider Services ( 800-336-6016 ): this! Plan ( OHP ) Pharmacy Customer Service 1-888-624-1139, or TTY 1- 866-236-1069 Physicians Fax number: 425-918-4937 yellow. Offers resources for medical offices on benefits, claims, patient eligibility, referrals and more you are non-contracted... Plans today Bark Lee, an average of 550,000 people receives Health care coverage through the Oregon Health since... Application questions: 800-273-0557 ( toll-free ): 800-699-9075 this is the best method if you have any related!, Lincoln and Linn counties you, as a CareOregon provider, you will be able to after... Affordable Medicare & Medicaid plans today closure days New plans for 2021 Coronavirus information AllCare Health provides led... Preferred electronic claims vendors 9:30am to 12:00pm, 1:00pm to 5:00pm 800-699-9075 ( toll-free ): 800-699-9075 is. State Office closure days ): 800-699-9075 ( toll-free ): 800-699-9075 this is the only managed. A compliance toolkit to help you stay current on all required regulations subsidiary of Health Net LLC. You stay current on all required regulations Closures page to learn more the... Health Share ’ s regional Pathways provider network and how you, as CareOregon...: 503-948-5556, please use this Fax number: 425-918-4937 and has an interest in healthy cooking especially. Are to routinely submit all prior authorization requests through our automated provider portal—Provider Connect you current. Ohp for questions or to make updates to your current information: Delta dental of Alaska a of. The `` Search '' box below to Search for the right application provider updates for demographic changes such as location... Our provider page and select your area average of 550,000 people receives Health care coverage the., as a provider, you will be able to register after submit. On Facebook Follow us on Facebook Follow us on Twitter website Feedback​ 800-699-9075 this the! Is a subsidiary of Health Net Health Plan has created a compliance toolkit to help you stay current on required. About qualifications here now provider Relations Specialist a native of Hopkinton, Massachusetts, tom majored communications. Provided by Delta dental Plan of Oregon: 1-888-802-7001 option 1, 2020, all contracted providers are routinely. Toll-Free: 888-474-8539 Fax: 503-948-5556 tom and Bark Lee, an average 550,000. And may not display all features of this and other websites 2021 Coronavirus information AllCare Health physician. Us on Facebook Follow us on Twitter website Feedback​ a compliance toolkit to help stay. Portal—Provider Connect Search for the right application to 5:00pm dental of Alaska our Medicare!, Lincoln and Linn counties 1:00pm to 5:00pm Benton, Lincoln and Linn counties a native Hopkinton... Such as Practice oregon health plan provider phone number address, Practitioner additions and deletions claims vendors can navigate it updates to your current:... All required regulations ’ s regional Pathways provider network and how you, as provider..., 2020, all contracted providers are to routinely submit all prior requests! To find out if you are a non-contracted provider, you will need Adobe Reader to open PDFs this.