Provider resources
Insurance is complex. We’ve got the information and tools you need to handle the business of healthcare so you can focus on what matters most: Your patients.
Doing business with Moda Health
Benefit Tracker
Determine patient eligibility, get authorization and track status of claims
Provider reports
View performance data, see top recommendations for patient preventive paths. Moda Health and EOCCO commercial providers can also access value-based programs.
Moda policies
Policy guides Moda Health Commercial Plans
Educational workshops
Once a year the Moda Health Provider Relations team offers free online webinars. Future events will be announced in the provider newsletter.
Documents and forms
Provider news and notifications
Notifications
Get timely notice of changes and updates to billing policies, pre-authorization lists, and industry regulations that may materially impact your practice. Provider notice of material changes are always issued via postal mail and may target a specific provider type or specialty.
Past provider notices
Clinical Edit updates (effective 5/1/2023)
Preventive E/M Reimbursement update (effective 5/1/2023)
Newsletters
Moda Health's Medical Provider Newsletter is a bi-monthly publication providing education on general changes to medical policies, processes, and other resources. Get the newsletter in your inbox.
We’re here to help
Our team of experts would be happy to answer your questions and help you find what you need. Use the customer service number on the back of your patient's Moda Health ID card to reach us.