Call our 24-Hour NurseLine: 855-834-6150, TTY: 711. Just qualified for OHP.not sure which COO to choose Your physical health plan is listed on the back or inside of your Health Share ID card. For forms and guides in several languages, including appointment verification forms, visit this page. The Top 10 and Why They Matter - Gov Health IT OHA expects providers to bill their usual and customary charges unless otherwise specified in the rules for a specific provider program; for example, OHA pays for some services at acquisition costs only. If you need more than four tests per month, contact your PCP. To contact Health Share for more information call503-416-8090or visitwww.healthshareoregon.org. Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. For billing purposes, OHA usesCurrent Procedural Terminology (CPT),Level II National Codes (HCPCS) andCurrent Dental Terminology (CDT)procedure codes. It has known security flaws and may not display all features of this and other websites. 503-416-8090 888-519-3845 TTY/TDD 711. View the back or inside of your Health Share ID card to locate the plan you have been assigned to. An official website of the State of Oregon 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. Collective (PreManage): If your clinic uses this online platform, check the RCT tag after searching for your patient. CareOregon - Metro area behavioral health providers Follow us on Twitter Health Share Oregon Claims Address Understand when and where to receive different types of care. 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. For questions regarding single claim inquiry, adjustment request, billing policies, our provider search tool (Find Care). CareOregon - Provider support To enroll with the Zelis Payment Network, go to their website at. We all know that Medicaid and the Oregon Health Plan (OHP) can be complicated, but were here to help make it easier for current and prospective members. If you have questions about your health plans, benefits, rides to appointments and more, we are here for you. EOCCO contact us page We accept all relay calls. For example: Institutional Claims: Handbook and slides. Call us to report any changes to your mailing address or email. 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. OHP website. Umpqua Health Alliance. Member Resources To our providers You heal. When autocomplete results are available use up and down arrows to review and enter to select. You can also give us a phone call at (888) 920-9466. We accept relay calls.You can get help from a certified and qualified health care interpreter. Professional Claim Submission . For reporting compliance issues feel free to contact us anonymously at503-416-1459. 800-431-4135, TTY: 711 Sign up for InTouch, your member portal with personalized health plan information. Choose one of the following teams to view contact information, hours of operation and to get assistance by phone or email. 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 . 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. For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite . Local: 503-243-3962. 5034168090 OHSU Health Share members can get a free SmartExam. 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. Appeals If you receive a Notice of Action letter, you can appeal our decision in writing. https://www.zelis.com/provider-enrollment/, Medicare and Medicaid billing and pricing resources, 2021 Evaluation & Management Coding guide, Medicare Fraud & Abuse: Prevent, Detect, Report WBT (cms.gov), Special Needs Plan Model of Care Training Provider Module, Model of Care Clinic/Practice Attestation, 2020 important updates about OHP and metro-area CCOs, Behavioral Health Qualified Directed Payments, Strategic Healthcare Investment for Transformation (SHIFT). Health Share ID Cards (OHP Members) You can use OHSU Health Services if your Health Share ID card lists OHSU , https://www.ohsu.edu/health-services/oregon-health-plan-members. Fa mil yCare. Health Share of Oregon Provider Directory We've got you covered Find the best provider or clinic for you. We're here to supply you with the support you need to provide for our members. We accept relay calls.You can get help from a certified and qualified health care interpreter. Disclaimer |Non-discrimination and Communication Assistance |Notice of Privacy Practice |Terms of Use & Privacy Policy, Browse value-added services & buy-up options, Advanced directives & declarations for mental treatment, Non-discrimination and Communication Assistance |. 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. Call Health Share Customer Service 503-416-8090, or toll free at 888-519-3845 (TTY/TDD 711) In an emergency, call 911 or go to the hospital.
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