Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

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Our team of experts is available to answer your calls Monday through Friday from 7:30 a.m. to 5:30 p.m., excluding holidays.

Contact information

Medical Customer Service
For questions regarding single claim inquiry, adjustment request, billing policies, our provider search tool (Find Care).
Email:
Local: 503-243-3962
Toll-free: 877-605-3229

Moda Health Provider Services
For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite visit requests.
Email:

Credentialing
For questions regarding How to become credentialed, status of your credentialing application.
Email:
Phone: 855-801-2993

Provider Updates
For demographic changes such as Practice location address, Practitioner additions and deletions.
Email:

Referral and authorizations
For questions regarding Referrals and authorizations and how to submit a request.
Local: 503-265-2940
Toll-free: 888-474-8540
Fax: 503-243-5105

Electronic data interchange (EDI)
For questions regarding electronic claim submission and payments and EFT/ERA enrollment form.
Email:
Toll-free: 800-852-5195

Benefit Tracker (EBT)
Email:
Local: 503-265-5616
Toll-free: 877-277-7270

Professional Services Line
Local: 503-243-3968
Toll-free: 877-337-0650
Fax: 503-243-3964
Press 1 for the Referral and Authorization Unit
Press 2 for the Medical Unit
Press 3 for the Dental Unit

Pharmacy Customer Service
Local: 503-243-3960
Toll-free: 888-361-1610
Fax: 800-207-8235

Healthcare Services: Case management & disease management
Local: 503-948-5561
Toll-free: 800-592-8283
Fax: 503-243-5105

Medical Intake
Local: 503-243-4496
Toll-free: 800-258-2037
Fax: 503-243-5105

Oregon Health Plan (OHP)

Pharmacy Customer Service
Local: 503-265-2939
Toll-free: 888-474-8539
Fax: 503-948-5556

Healthcare Services (Authorizations & Referrals)
Local: 503-265-2940
Toll-free: 888-474-8540
Fax: 503-243-5105

Medical Customer Service
Local: 503-765-3521
Toll-free: 888-788-9821

Chemical Dependency
Local: 503-265-2938
Toll-free: 888-474-8538
Fax: 503-670-8349

Claims submission

Medical Claims
P.O. Box 40384
Portland, OR 97240

OHP mailing addresses

Medical Claims
PO Box 40384
Portland, OR 97240

Behavioral Health Claims (GOBHI)
PO Box 5940
Salem, OR 97304

Complaints and Appeals
Moda Health Plan, Inc.
Attn: Appeal Unit
601 S.W. Second Avenue
Portland, OR 97204

Pharmacy Claims
P.O. Box 3625
Portland, OR 97208

Address

Physical address: 601 S.W. Second Ave. Portland, OR 97204

Moda Health Holidays

Moda Health observes the following holidays. Business offices will be closed.

Moda Health Provider Network

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Benefit Tracker

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Account help

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Provider Reports

For value-based provider programs, including Synergy, Summit, Beacon, Affinity, CPC+, and EOCCO

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Benefit Tracker

Check benefits, eligibility, incentive and utilization

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Account help

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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.