Your medical, mental, and dental benefits from the Oregon Health Plan (OHP) are coordinated through Health Share. Were here to give you the support and resources you need. For questions regarding single claim inquiry, adjustment request, billing policies, our provider search tool (Find Care). To check your NPI information, contact, To look up the NPI of the ordering, referring, or rendering provider for a claim, use the, An official website of the State of Oregon , 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, If you have other billing questions not answered on this page, contact. Click here to access our member portal to send us a secure message. Oregon Health Plan (OHP) Contacts Customer Service is available to help you from 7 a.m. to 8 p.m., seven days a week. Get language assistance. Our Coordinated Care Organizations | PacificSource Copyright 2023 Providence Health Plan, Providence Plan Partners, and Providence Health Assurance. Members have access to healthcare professionals by phone or video 24/7. Our team of local customer service experts is available to help you Monday through Friday from 7:30 a.m. to 5:30 p.m. Pacific Time. A CCO is a network of all types of health care providers (physical health care, addictions and mental Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. OHSU Health Services works with providers to deliver your medical care needs. Phone: Call the number listed on https://www.uhcprovider.com/en/admin-guides/administrative-guides-manuals-2022/umr-supp-2022/how-to-contact-umr-guide-supp.html Category: Health Show Health Call: Check the list below to see where your clinic is assigned, and call that number. Please email VOE@careoregon.org. What are you looking for? Contact us by telephone: (541) 485-2155 | (877) 600-5472 | TTY 711, 555 International Way Building B 1. Coordinated Care Organizations (CCO) - State of Oregon For example, a product that comes in a package with two tests and directs the user to use the second test 36 to 72 hours after the first is counted as two tests. We accept all relay calls. Learn more about us Use this tool to find a doctor, hospital, or clinic in the OHSU Health network. The notification did not clarify whether the laptop was encrypted. New to Oregon Health Planweb page. Health Share of Oregon Notifies 654,000 Members About Business Associate Data Breach. Health (7 days ago) WebFor questions about your health benefits or other questions, please contact Health Share Customer Service by calling 503-416-8090 or toll free at 1-888-519-3845 (TTY/TDD 711). Read about: an important message for providers. Call or email our Customer Service team at Health Share provides free services to make sure you can communicate about your health needs. Medicaid Program Integrity Toolkits - These toolkits explain topics that often result in payment errors for providers. Fa mil yCare. EOCCO contact us page Explore different elements of patient medication risk, and improve your ability to contribute to a multi-disciplinary team. Below, youll find contact and procedural information for providers. We accept all relay calls. Each RCT is made up of care coordinators with a variety of backgrounds and experience, including: Online: Submit a completed Care Coordination Referral formand well route it to your assigned RCT. In an emergency, call 911 or go to the hospital. For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite . To schedule a ride, call Ride to Care at 503-416-3955 or visit Ride to Care online. We make it easy to maximize your membership in minutes. Our Customer Service hours are 8:00 a.m. - 5:00 p.m., Monday - Friday. Then verify eligibility and enrollment to determine if your patient is a current OHP member, and to determine whom to billOHA or an OHP health plan. Toll-free: 877-605-3229. View and download your member handbook to learn about your benefits and how to access care. All Rights Reserved. Send claims electronically using our payer ID 93975. You also can file a report online atwww.ethicspoint.com. Its time to confirm your eligibility and renew your Oregon Health Plan coverage. How to Submit and Adjust Claims to OHA - Oregon For medical care and benefits questions, contact PacificSource at: 800-431-4135, TTY: 711. 315 SW Fifth Ave Portland, OR 97204 Customer Service: CareOregon and Health Share/CareOregon: Call: 503-416-4100, toll-free 800-224-4840 or TTY 711 Email: customerservice@careoregon.org Hours : 8 a.m. to 5 p.m. Monday-Friday Click here to access our member portal to send us a secure message. Provider Resources. Health Share ID Cards (OHP Members) You can use OHSU Health Services if your Health Share ID card lists OHSU Health Services as your physical health plan. For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO. Connect with us at one of our upcoming community or provider events. Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. Portland metro area: 503-416-3955 , icaltransportation@careoregon.org. Size: 1 to 50 Employees. Click here to view our Regional Care Team overview in PDF format. Current members that experience a qualifying event during the Special Enrollment Period, Jan. 1 - Dec. 31, 2023, can make changes to their plan using the forms below.. 2023 Oregon Plans. When autocomplete results are available use up and down arrows to review and enter to select. When we take care of each other, we tighten the bonds that connect and strengthen us all. Download a PDF summary of this information here. Learn how, An official website of the State of Oregon, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, Learn more about sharing concerns or complaints, Find other ways to get help applyingfor OHP, Contact your Account Representative, Innovator Agent or Encounter Data Liaison, OHA ADA Policy and Request for Modification, Oregon Health Plan (OHP) Contact Information, Other provider and member customer service numbers, Mailing addresses for fee-for-service claims, adjustments and provider appeals. Call 503-416-4100 or 800-224-4840 or TTY 711. You can also ask for an interpreter.This help is free. Get language assistance. For questions about your Medicare Part D pharmacy coverage, please call our Moda Health Customer Service at 503-265-4709 or toll-free at 888-786-7509. Enter our Members section to find out if you're eligible, search for providers, learn about CareOregon benefits, and more. If , https://www.oregon.gov/oha/HSD/OHP/pages/billing.aspx, Health (Just Now) WebAs a CareOregon provider, you may have specific questions for us. File a complaint with: OHP Client Services by calling 800-273-0557. OHSU Health Services for Providers and Clinics | OHSU or If you have an urgent medical , https://www.healthnetoregon.com/contact-us.html, Best healthcare system in the world rankings, Alabama department of mental health montgomery al, 2021 health-improve.org. Call or email , https://www.healthshareoregon.org/providers/provider-resources/medical-and-dental-health, Health (6 days ago) WebCareOregon 315 SW Fifth Ave Portland, OR 97204 Customer Service: CareOregon and Health Share/CareOregon: Call: 503-416-4100, toll-free 800-224-4840 or TTY 711 , https://www.careoregon.org/about-us/contact-us, Health (4 days ago) WebNew to Health Share Providence? Yes; enrolled providers can do individual claim submissions using the Oregon MedicaidProvider Portal. Go to the Oregon Health Plan's Office Closures page to learn more about the resources available on state office closure days. Health Share provides free services to make sure you can communicate about your health needs. That means they can get physical health care, but also dental and mental health care, too. If you are looking for specific forms , Health (3 days ago) WebTo contact Health Share for more information call 503-416-8090 or visit www.healthshareoregon.org. If you require assistance with getting a PH TECH | Id account set up, please contact the Help Desk at 503-584-2169 option 3 . Member Resources To our providers You heal. OHP provides insurance. With this form, you can change your plan, add or remove dependents, or terminate your coverage. Enter "portal"forresourcesaboutsubmitting webportalclaims. PO Box 5490 Salem, OR 97304. Physical address: * City, state and ZIP: * Phone number/extension: . We believe that the health of a community rests in the hearts, hands, and minds of its people. Emergency issues include chest pain or heart attack, broken Mailing address: PO Box 14015, Salem OR 97309 Fax number: 503-378-5628 Fee-for , https://www.oregon.gov/oha/HSD/OHP/Pages/Contact-Us.aspx, Health (3 days ago) WebOregon Health Plan How to Submit and Adjust Claims to OHA Learn about Fee-for-Service Billing Also refer to the provider guidelines for your program and the General Rules. You're the heart of our members' health care. As a Health Share member, you can use My Plan to securely access your plan information, show your ID card to get care, and view your account details. The Oregon Health Plan (OHP) is the Medicaid program for the state of Oregon. We offer interpretation for members who prefer a language other than English. About Health Share Benefits | Providence Health Assurance else. Physical health Dental health Behavioral health Pharmacy Find a primary care provider Get a ride With My Plan, you have access to your account whenever you want. Continuing education for health care professionals. Health Share provides free services to make sure you can CareOregon Advantage (Medicare): For more information, visit theOregon Health Planwebsite. A lock icon ( ) or https:// means youve safely connected to the .gov website. You can also ask for an interpreter.This help is free. Health Net of Oregon Champion the pursuit of human progress by improving the health of our community. Include VOE and employee last name in the subject line. OHP members:We want to make sure you have the information you need. One test is the collection and processing of one sample, regardless of package size or packaging directions. If you need more than four tests per month, contact your PCP. Best practices for providers, backed by evidence-based guidelines. Health Share of Oregon Data Breach: What You Need to Know Medicaid home | PacificSource Phone numbers Medical/ Behavioral Health. Brendon Bassett . A lock icon ( ) or https:// means youve safely connected to the .gov website. Search tools, news and notices . Also see the Understand when and where to receive different types of care. When autocomplete results are available use up and down arrows to review and enter to select. The AMA recognizes electronic health care transactions as a cost saving, efficient way to do business and allows physicians to refocus resources on patient care. To learn more about HRS, visit our health-related services web page. Joppa Health Share Claims Address Details about whether you will qualify for OHP as the COVID public emergency ends, Mental health and substance use treatment, Community Giving grants for nonprofit organizations, CareOregon in your community (Connect to Care). Oregon's Medicaid coordinated-care organization, Health Share of Oregon, is notifying approximately 654,000 current and former members that some of their protected health information (PHI) was stored on a laptop computer stolen from its transportation vendor, GridWorks. OHP website. OHSU Health Share members can get a free SmartExam. What is Connect to Care? Urgent and immediate care clinic locations, Home Health, Hospice and Palliative Care providers, Office of Civil Rights Investigations and Compliance. If enrolling with the ePayment center, please do not submit this form. Do not bill separately for each plan. Call 503-416-4100 or 800-224-4840 or TTY 711. New to Oregon Health Planweb page. Access patient health information. As a CareOregon provider, you may have specific questions for us. It has known security flaws and may not display all features of this and other websites. Customer Support | Providence Health Plan To access your remittance advice electronically: To receive payments via Electronic Funds Transfer (EFT): CareOregon provides a couple of options for electronic payment. To learn about how to bill for services to CCO members. My Plan Login: My Plan Login Page | Health Share of Oregon Sign in New to My Plan? It's a very smart local call. Contact us. Professional Claim Submission . Our Vision Champion the pursuit of human progress by improving the health of our community. Website Feedback. Health Share Oregon Claims Address For urgent care, call your primary care provider 24 hours/day. Call our 24-Hour NurseLine: 855-834-6150, TTY: 711. Read more: Details about whether you will qualify for OHP as the COVID public emergency ends. The Oregon Health , https://www.providencehealthplan.com/health-share-providence-ohp/complaints-and-appeals, Health (1 days ago) WebPhysical location address (as noted on current W-9 form) Billing name and address Email address of billing contact (s) Call 888-445-8913 for Health Net Medicare Advantage , https://www.healthnetoregon.com/for-providers/resources/electronic-transactions/claims.html, Health (7 days ago) WebProvider Claim Dispute & Redeterminations Incentives Statement A Health Net representative may contact you regarding your inquiry. (toll free at Learn about feedback and complaints by clicking on your language of choice below: Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. Follow us on Twitter For forms and guides in several languages, including appointment verification forms, visit this page. An official website of the State of Oregon We accept relay calls.You can get help from a certified and qualified health care interpreter. Paper Claim Submission - Plan Address List - Sheet1.pdf. Moda Health customer service For all other questions, visit Health Share of Oregon or call: 503-416-8090 . Payment Error Rate Measurement (PERM) - Every three years, Oregon Medicaid/CHIP claims are subject to PERM review. If you are a Health Share member, our response may come as a secure message, and you will need to set up a password to open the email. Find us on Facebook The personal information of 654,362 patients could have been affected by the Healthshare of Oregon data breach. You can plan a trip as far ahead as 90 days. Also refer to the When autocomplete results are available use up and down arrows to review and enter to select. Health Systems Oregon Health Plan How to Submit and Adjust Claims to OHA Learn about Fee-for-Service Billing Also refer to the provider guidelines for your program and the General Rules. The links below provide information regarding various electronic transactions such as submitting claims, receiving payments and remittance advices. Email: Send us a completed form to ccreferral@careoregon.org. CareOregon Advantage (Medicare):Call: 503-416-4279, toll-free 888-712-3258 or TTY 711Hours: 8 a.m. to 8 p.m. every day, CareOregon Dental:Call: 503-416-1444, toll-free 888-440-9912 or TTY 711Hours: 8 a.m. to 5 p.m. Monday-Friday, Columbia Pacific CCO:Call: 503-488-2822, toll-free 855-722-8206 or TTY 711Hours: 8 a.m. to 5 p.m. Monday-Friday, Jackson Care Connect:Call:Toll-free 855-722-8208 or TTY 711Hours: 8 a.m. to 5 p.m. Monday-Friday, Housecall Providers:Call: 971-202-5500 or TTY 711. bones, major bleeding, behavioral health crisis (like 18885193845, You can also use the "Search" box below to search for the right number to call by topic or contact type. Materials include claims guides, integration toolkits, care coordination resources and more. If you have questions about your health plans, providers, benefits, rides to appointments, data breach information, and more, we , https://www.healthshareoregon.org/members/get-help, Health (6 days ago) WebCall 800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). OHP Client Services by calling 800-273-0557 The Oregon Health Authority Ombudsman at 503-947-2346 or toll-free at 877-642-0450 . All Meds Ed participants receive CME credit for completed sessions. Find us on Facebook Please be certain to include all applicable fields for consideration. 5034168090 The best source of information at this time is this Redetermination FAQ provided by Health Share of Oregon. https://pacificsource.com/medicaid/contact-us, Health (7 days ago) WebYou may also contact your provider directly to talk about your concerns. Finding a provider is quick and easy with our interactive tool. Read more: Details about whether you will qualify for OHP as the COVID public emergency ends. CareOregon - Provider support Headquarters: Portland, OR. Materials include claims guides, integration toolkits, care coordination resources and more. OHP Provider Updates by text or email. Please note that we cannot accept any personal information , https://www.healthshareoregon.org/about/contact, Health (8 days ago) WebCareOregon Dental Kaiser Dental ODS Community Health Dental Plan Willamette Dental Group Contact us Do you have questions about health plans and benefits? Just qualified for OHP.not sure which COO to choose You can bill using the Oregon Medicaid Provider Portal, electronic data interchange, or commercially available paper claims. Find other ways to get help applyingfor OHP. 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. Working at Health Share of Oregon | Glassdoor It has known security flaws and may not display all features of this and other websites. Health Share of Oregon is Oregon's largest Medicaid coordinated care organization. Join the people who've already picked Trillium for outstanding personal service. Go to our Provider Portal information page to learn more.Providers can also submit batches of claims using electronic data interchange. If you are one of these people, your member ID card will come from Health Share of Oregon and will have "Legacy Health PacificSource" listed under "Physical Health Plan.". Yamhill Community Care Organization. Learn more. CareOregon - Home In order to be eligible for payment, claims must meet CareOregon's policies, procedures and authorization requirements as described on this webpage and its links. Visit the OHP fee schedule page to learn more about maximum allowed rates.. Contact us | PacificSource 11/10/2023 - Veterans Day (observed for qualified Veterans). . Feel better, faster. Read the latest news from Providence Health Plan. Health Share of Oregon Contact Us. 503-765-3521 888-788-9821 . At this site, you can: For details, visit this page for a riders guide, how to check on a ride and more. Learn more and apply. For EDI claims for which additional paperwork or documentation will be submitted. Find the best provider or clinic for you. Below, youll find contact and procedural information for providers. OHSU Health Services cannot reimburse members for over the counter at-home tests purchased on their own. OHP website. Umpqua Health Alliance. After the first two months of membership, an annual preventative wellness visit and related lab work for which there are no medical symptoms or diagnosis in advance are eligible for sharing, up to a maximum of $400 of the fair and reasonable charges as . (how to identify a Oregon.gov website) Call: 503-416-4100 or 800-224-4840. PO Box 5490 Salem, OR 97304. Members will have a consistent care team that will collaborate across disciplines to develop and implement a member-centric care plan through telephonic, electronic or community-based interventions to resolve identified needs and promote healthy outcomes. 800-699-9075, TTY: 711. View the back or inside of your Health Share ID card to locate the plan you have been assigned to. Contact us - CareOregon Beginning in April 2023, there will be new information guidelines about when and how often plan members will need to reapply for benefits. You also can call Care Coordinators at your health care plan: CareOregon: 503-416-4100. Let us help you find the plan that best fits your needs. The Nurse Advice Line is open 24 hours a day, every day. We accept relay calls.You can get help from a certified and qualified health care interpreter. Health Share of Oregon | Contact Us If you already have OHP, you can visit Oregon Health Plan Benefits under our Oregon Health Plan Members dropdown menu to get to your member handbook. Access your formulary search here for information on your prescriptions.