Moda Health Commercial plans claims

Medical claims

You may dramatically reduce the processing time for your claim if you:

Electronic claims and other transactions

Moda Health is interested in receiving claims electronically.

The advantages for your office include:

Below is a list of Medical and Hospital Electronic Claims Providers for Moda Health:

Systems that submit directly to Moda Health:

Direct connection to Moda Health

Moda Health also supports direct connections between offices and Moda Health if the doctor or health system prefers this method. The transaction standard is the 837 Professional Claim or 837 Institutional Claim required by HIPAA Administrative Simplification.

Moda Health EDI transactions contacts

Email

Reasons for denied, paid at a lower benefit or returned claims

Moda Health Provider Network

Find a physician, pharmacy or clinic

Opt in for medical

Tell us you're interested and we'll be in touch with details.

Get Started  Get Started

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

Benefit Tracker

Check benefits and eligibility

Log in

Account help

Request an account

Provider Reports

For Synergy, Summit, and EOCCO provider contacts

Log in

Join our email list


Benefit Tracker

Check benefits, eligibility, incentive and utilization

Log In

Account help

Create an account

Producer web tools


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

You can return to your previous location in the site header.