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Our team of experts is available to answer your calls Monday through Friday from 7:30 a.m. to 5:30 p.m., excluding holidays.
Please review the information below to determine which team is best suited to provide assistance. Please do not email more than one team as this will not increase your response time.
Contact information
Medical Customer Service
For questions regarding single claim inquiry, adjustment request, billing policies, our provider search tool (Find Care).
Email:
Phone: 888-217-2363
Moda Health Provider Services
For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite visit requests.
Email:
Credentialing
For questions regarding How to become credentialed, status of your credentialing application.
Email:
Phone: 855-801-2993
Provider Nominations
For questions regarding the status of a new contract request submitted more than 30 days ago.
Email: providernominations@modahealth.com
Provider Updates
For demographic changes such as Practice location address, Practitioner additions and deletions.
Email:
Referral and Authorizations
For questions regarding Referrals and Authorization and how to submit a request:
MEDICAL
Phone: (800) 592-8283
Fax: (503) 243-5105
Toll Free Fax: (800) 522-7004
BEHAVIORAL HEALTH:
Phone: (855) 294-1665
Fax: (503) 488-3674
Electronic data interchange (EDI)
For questions regarding electronic claim submission and payments and EFT/ERA enrollment form.
Email:
Phone: 888-784-7954
Benefit Tracker (EBT)
Email:
Phone: 877-277-7270
Professional Services Line
Phone: 877-337-0650
Fax: 503-243-3964
Press 1 for the Referral and Authorization Unit
Press 2 for the Medical Unit
Press 3 for the Dental Unit
Pharmacy Customer Service
Phone: 888-361-1610
Fax: 800-207-8235
Healthcare Services: Case management & disease management
Phone: 800-592-8283
Fax: 503-243-5105
Medical Intake
Phone: 800-258-2037
Fax: 503-243-5105
Oregon Health Plan (OHP)
Pharmacy Customer Service
Phone: 888-474-8539
Fax: 503-948-5556
Healthcare Services (Authorizations & Referrals)
Phone: 888-474-8540
Fax: 503-243-5105
Medical Customer Service
Phone: 888-788-9821
Chemical Dependency
Phone: 800-493-0040
Fax: 541-298-7996
Claims submission
Medical Claims
P.O. Box 40384
Portland, OR 97240
OHP mailing addresses
Medical Claims
PO Box 40384
Portland, OR 97240
Behavioral Health Claims (GOBHI)
PO Box 5940
Salem, OR 97304
Complaints and Appeals
Moda Health Plan, Inc.
Attn: Appeal Unit
601 S.W. Second Avenue
Portland, OR 97204
Pharmacy Claims
P.O. Box 3625
Portland, OR 97208
Address
Physical address: 601 S.W. Second Ave. Portland, OR 97204
Moda Health Holidays
Moda Health observes the following holidays. Business offices will be closed.
Questions?
If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service
Questions?
If you can't find an answer, please feel free to contact our Customer Service
Employer web tools
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Check benefits, eligibility, incentive and utilization
Rate finder is now in the Producer Dashboard
Log in with your current username and password to create quotes for groups up to 50.
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Hello.
We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
Hello.
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
Changing your location to Oregon
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