to smooth the way to better care and better outcomes. Read more: Details about whether you will qualify for OHP as the COVID public emergency ends. Providers For questions, please call 503-471-2149. CareOregon Regional Care Teams (RCTs) offer providers a community of resources with a single point of contact for you and your patients. For billing purposes, OHA usesCurrent Procedural Terminology (CPT),Level II National Codes (HCPCS) andCurrent Dental Terminology (CDT)procedure codes. We encourage you to report incidents of suspected fraud, waste, or abuse. Find us on Facebook If you require assistance with getting a PH TECH | Id account set up, please contact the Help Desk at 503-584-2169 option 3 . 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. Feel better, faster. Visit our provider directory to locate a doctor near you. Please click herefor resources, including forms to request interpreting services, a language ID tool for your facility, I speak cards, and more. Enroll with Zelis Payment Networkfor ACH direct deposit payment or virtual credit cardfor a small fee(this is separate from CareOregons free ePayment ACH option noted above). OHSU Health Services covers at-home COVID-19 antigen testing kits through pharmacy point-of-sale (POS) for members who have symptoms consistent with COVID-19 or who have had confirmed or suspected exposure to COVID-19. Go to our Provider Portal information page to learn more.Providers can also submit batches of claims using electronic data interchange. Complaints and Appeals | Providence Health Assurance Working at Health Share of Oregon | Glassdoor File a complaint with: OHP Client Services by calling 800-273-0557. Industry: Health Care Services & Hospitals. In addition, their services are lest robust than Care Oregon'sno matter what the website says. Enter "portal"forresourcesaboutsubmitting webportalclaims. Training must align with the materials presented in: Coordinated Care Organization contract with the Oregon Health Authority (Exhibit B, Part 9, Section 11). Not sure which RCT to contact? Please contact Change Healthcare at 877-363-3666for more information. Washington General Fund. Change Healthcare will validate the claims for HIPAA compliance and send them directly to CareOregon. OHSU Health Services cannot reimburse members for over the counter at-home tests purchased on their own. In an emergency, call 911 or go to the hospital. . What is Connect to Care? Ride to Care gets a lot of Health Share members to their Oregon Health Plan appointments. CareOregon - Providers Find us on Facebook If enrolling with the ePayment center, please do not submit this form. How you know And how can it help your patients? Below, youll find contact and procedural information for providers. Providers Overview | PacificSource Before the state forced it, providers (from hospitals to independent contractors) were refusing to work with them because they were unprepared for this market, paid poorly, and did not meet state standards. 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. 11/10/2023 - Veterans Day (observed for qualified Veterans). Click here to view our Regional Care Team overview in PDF format. Springfield, Oregon 97477, /content/dam/centene/trillium/News_Stories/or-home-middleeast-family.jpg, Quit Tobacco in Pregnancy (Lane County only, Orthopedic & Spinal Procedures (TurningPoint), Healthcare Interpretation and Translation, Talking to Patients about the COVID-19 Vaccine, Risk Adjustment, Care Gaps, and Clinical Documentation, Continuing Education Opportunities Related to Substance Use in Pregnancy, Instructions for taking Medicare Parts C and D General Compliance Training, Instructions for taking Medicare Parts C and D Fraud, Waste, and Abuse Training, Pre-Session Process and How a Bill Becomes a Law, Promoting Self-Advocacy and Health Literacy in Patient Communication, Parent Child Family Health Resource Fair | Trillium Community Health Plan, African Career Fair | Trillium Community Health Plan, Provider Update: OHA Healthcare Provider Informational Calls: COVID-19, Health insurance options for those affected by job loss, Trillium Partners with Orchid Health to Serve McKenzie River Valley Area After Wildfire, Food for the Spirit: Trillium and Rockwood CDC Partner to Increase Access to Food, Trillium and Rockwood CDC Partnership Increases Access to Culturally Specific Food in Local Communities, Trillium Invests in Tri-County Community Health Programs | Trillium Community Health Plan, Trillium Community Health Plan Appoints Emily Ann Farrell As Health Equity Administrator | Trillium Community Health Plan, Trillium Community Health Plan Successfully Resolves Corrective Action Plan with OHA | Trillium Community Health Plan, Contact your Oregon Health Authority eligibility worker, or. Coordinated Care Organizations (CCO) - State of Oregon Our Coordinated Care Organizations | PacificSource (6 days ago) WebClaims & Appeals Submission Claims Address US Family Health Plan/TRICARE Attn: Claims Department P.O. New to Oregon Health Planweb page. To learn about how to bill for services to CCO members. Learn about your benefits and how to maximize your Health Share Providence membership. Follow us on Twitter Trinity Healthshare Claims Mailing Address - healthpoom.com. CareOregon accepts HIPAA-compliant 837 electronic claims through our clearinghouse, Change Healthcare. OHSU Health Services | OHSU 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. Yamhill Community Care Organization. One test is the collection and processing of one sample, regardless of package size or packaging directions. The blog can answer many of your more basic questions about Zion HealthShare and sharing with the community. With partners OHSU Health Hillsboro Medical Center and Adventist Health in East Portland, OHSU Health Services is ensuring every Portland area neighborhood has access to OHSUs innovations and treatments. Paper Claim Submission - Plan Address List - PH TECH HELP CENTER Use this tool to find a doctor, hospital, or clinic in the OHSU Health network. Regular business hours:8 a.m.-5 p.m., Monday through Friday, except holidays. View the back or inside of your Health Share ID card to locate the plan you have been assigned to. Health (5 days ago) Web800-699-9075, TTY: 711. General Contact. Trinity Healthshare Claims Mailing Address - health-improve.org You will need Adobe Reader to open PDFs on this site. Let us help you find the plan that best fits your needs. If you have other billing questions not answered on this page, contact Provider Services (800-336-6016). OHSU Health will cover up to four units per month without a primary care providers (PCP) order or prior authorization. Log in to access your myProvidence account. Youll need your ID card to receive services, so keep it with you at all times. Oregon Medicaid, Medicare & Health Insurance | Trillium Your browser is out-of-date! Size: 1 to 50 Employees. provider guidelines for your program and the 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 Find other ways to get help applyingfor OHP. All other COVID-19 home test products require PCP order and prior authorization. Email: medical@modahealth.com. 18885193845, 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. Access patient health information. Below, youll find contact and procedural information for providers. An official website of the State of Oregon OHA does not cover all valid codes, and OHA may not allow covered codes in all settings. Trillium was honored to be a sponsor for Harvesting Hope, where we shared this video about our commitment to whole healthcare. Oregon Health Plan (OHP) Contacts To contact Health Share for more information call503-416-8090or visitwww.healthshareoregon.org. Health Share organizes your care into three categories to help with all your health needs: Physical, Mental and Dental. There are lots of things Connect to Care and our partners are here to help your patients with: See if they're eligible for Medicare and help you enroll in the Oregon Health Plan, Help set uptheir medical, dental and behavioral health appointments, Connect them with trained staff to help coordinate their health care needs. Have a health-related question? Were here to give you the support and resources you need. Download the free version of Adobe Reader. Health Share reports all verified cases of fraud to the Medicaid Fraud Control Unit (MCFU). Call800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). Physical health Dental health Behavioral health Pharmacy Find a primary care provider Get a ride Trillium is excited to award $18 million in grant funding for projects advancing health equity! Call Trillium Member Services at 1-877-600-5472. CareOregon provides plan services to three Coordinated Care Organizations (CCO) and offers a Medicare Advantage plan supporting and enhancing sensible, localized, coordinated care. Do you have questions about health plans and benefits? It is your legal right to submit a complaint, and you wont face any negative consequences if you do. Would we be able to use this text under the video: Trillium was honored to be a sponsor for Harvesting Hope, where we shared this video about our commitment to whole healthcare. Beginning in April 2023, there will be new information guidelines about when and how often plan members will need to reapply for benefits. It is strictly between Zelis and you, the provider. The Nurse Advice Line is open 24 hours a day, every day. 005010X224A2 837D. My Plan Login: My Plan Login Page | Health Share of Oregon Sign in New to My Plan? For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO. When autocomplete results are available use up and down arrows to review and enter to select. Connect with us at one of our upcoming community or provider events. Click here to view our Regional Care Team overview in PDF format. Gain valuable insights and practical care strategies during our Meds Ed online seminars. An official website of the State of Oregon . OHA is working with Health Share of Oregon, Willamette Valley Community Health and Yamhill Community Care to transition FamilyCare members. Customer Service & Sales teams: Providence Health Plan Providence Medicare Advantage Plans Providence Medicare Supplement Employers Send claims electronically using our payer ID 93975. Just qualified for OHP.not sure which COO to choose 5034168090 Contact us Becoming a CareOregon provider Language services Health-related services Care coordination and Regional Care Teams Connect to Care for providers Submitting claims and receiving payment CMS fraud, waste and abuse training Model of Care Training presentation for providers Oregon Health Plan resources for providers Be sure to identify each email with a name and job title. CareOregon - Provider support For technical questions or comments about our website, contact the web administrator. When we take care of each other, we tighten the bonds that connect and strengthen us all. Type: Company - Private. Contact your Oregon Health Authority eligibility worker, or Visit ONE.Oregon.gov, or Call Trillium Member Services at 1-877-600-5472. Oregon Health Plan Members | OHSU Get language assistance. Call our 24-Hour NurseLine: 855-834-6150, TTY: 711. Physical address: * City, state and ZIP: * Phone number/extension: . PO Box 5308 Salem, OR 97304. Are not enrolled in a CCO and need help finding a provider that accepts OHP open card. Please click on a topic below to get started. Providers Box 830479 Birmingham, AL 35283 Appeals Address US https://www.hopkinsmedicine.org/johns_hopkins_healthcare/downloads/usfhp/usfhp_quickrefguide.pdf Category: Health Show Health Website Feedback. Contact us. You are essential to the health and well-being of our Member community. Register for a My Plan account Find other ways to get help applying for OHP. Moda Health Provider Services. View and download your member handbook to learn about your benefits and how to access care. A CCO is a network of all types of health care providers (physical health care, addictions and mental When autocomplete results are available use up and down arrows to review and enter to select. Health Net of Oregon To get care and services: Find a Mental Health or Substance Use Provider online Call CareOregon at 503-416-4100 Talk to your primary care provider (your main doctor or clinic) listed on your ID card Understand when and where to receive different types of care. Members Visit the New to Health Share page or call the New Member Welcome Line at 833-278-4215. Health Share of Oregon (Tri-County Medicaid Collaborative) Application General Contact. About Health Share Benefits | Providence Health Assurance get signed up for it through the Oregon Health Plan. (how to identify a Oregon.gov website) OHSU Health Services members can get at-home COVID-19 test kits at no cost. 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.". else. It's a very smart local call. OR. Health Share of Oregon Data Breach: What You Need to Know Explore different elements of patient medication risk, and improve your ability to contribute to a multi-disciplinary team. The office is open Monday through Friday, 7:30 a.m. to 5:30 p.m. PST. We're here to supply you with the support you need to provide for our members. If you have questions about your health plans, benefits, rides to appointments and more, we are here for you. We are available every weekday from 8 AM to 6 PM, and have a dedicated member of our Member Care Team waiting to answer your call. Health Share provides free services to make sure you can communicate about your health needs. OHSU Health Share members can get a free SmartExam. Providence Health Plan offers commercial group, individual health coverage and ASO services.Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Visit our OHP billing tips page for more information., The Oregon MedicaidProvider Portal will tell you whether OHA will pay or deny your claim as soon as you submit it; however, you will need to wait for your paper remittance advice (mailed the week after OHA processes your claim) to find out the exact amount paid.. 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. Youve got options with your Health Share Providence (OHP) health plan. For urgent care, call your primary care provider 24 hours/day. We offer interpretation for members who prefer a language other than English. Search for and find the forms you need as one of our members. Florida Orthopedic Institute Patients effected: $640,000 Keeping your health coverage can help you stay healthy and live your life to the fullest. Oregon Health Plan (OHP) Contact Information 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. Health Share of Oregon | Contact Us Mailing address: PO Box 14015, Salem OR 97309 Fax number: 503-378-5628 Fee-for-Service Providers - 800-336-6016 Press 2 for medication prior authorizations or pharmacy claims Press 3 for other prior authorization questions Contact us - CareOregon Learn about prior authorization, claims guidelines, appeals, credentialing, and training. Instead, select the option for 835 enrollment upon registration through the ePayment center. Health Share provides free services to make sure you can communicate about your health needs. Let us help you find the plan that best fits you or your family's needs. Please email VOE@careoregon.org or fax to 503-416-1462, with VOE and employee last name in the subject line, and your release of information form signed by the employee. Every month, Connect to Care comes out to the communities where your patients live, all over the Metro area including Clackamas, Multnomah and Washington counties. 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. For forms and guides in several languages, including appointment verification forms, visit this page. We accept relay calls.You can get help from a certified and qualified health care interpreter. My Plan is for you. If you have an issue, concern, or complaint, please let us know. Call or email our customer service team at info@healthshareoregon.org or 503-416-8090 (toll free at 1-888-519-3845, TTY/TDD 711), ESPAOL | | TING VIT | | | | | Romn | Hmong | | Kiswahili. For example: Institutional Claims: Handbook and slides. TTY users, please call 711. 800-699-9075, TTY: 711. The notification did not clarify whether the laptop was encrypted. But we changed the name so that its easier to understand what were all about connecting people with the care they deserve. Please note that we cannot accept any personal information via email, such as your social security number, Oregon Health Plan or Health Share member numbers or any personal health information. Materials include claims guides, integration toolkits, care coordination resources and more. Here youll find information useful for THWs and those who work with them. To learn more about HRS, visit our health-related services web page. Appeals If you receive a Notice of Action letter, you can appeal our decision in writing. Contact information: Regular business hours: 8 a.m.-5 p.m., Monday through Friday, except holidays. OHSU Health Services for Providers and Clinics | OHSU Find the best provider or clinic for you. Health Share of Oregon is Oregon's largest Medicaid coordinated care organization. To schedule a ride, call Ride to Care at 503-416-3955 or visit Ride to Care online. Customer Service is available to help you from 7 a.m. to 8 p.m., seven days a week. 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. Health Share coordinates your services. We accept relay calls.You can get help from a certified and qualified health care interpreter. The personal information of 654,362 patients could have been affected by the Healthshare of Oregon data breach. info@healthshareoregon.org. Choose one of the following teams to view contact information, hours of operation and to get assistance by phone or email. Contact us by telephone: (541) 485-2155 | (877) 600-5472 | TTY 711, 555 International Way Building B Emergency issues include chest pain or heart attack, broken OHP website. Call 503-416-4100 or 800-224-4840 or TTY 711. Provider Contact. For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite . Revenue: $500 million to $1 billion (USD) If you need assistance with this process please contact Customer Service at the number below. Member feedback helps us improve. Pressoption 3for provider. How to Submit and Adjust Claims to OHA - Oregon 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 Health Share of Oregon Provider Directory We've got you covered Find the best provider or clinic for you. 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. Moda Health customer service Search tools, news and notices . Dental Claim Submission . Doug Flow, 541-471-4106 . Materials include claims guides, integration toolkits, care coordination resources and more. Do you have questions about health plans and benefits? The Oregon Health Plan (OHP) and Health Share work together with OHSU Health Services on different parts of your healthcare needs.