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.
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 Authorization and how to submit a request:
MEDICAL
Phone: (800) 592-8283
Fax: (503) 243-5105
Toll Free Fax: (800) 522-7004
BEHAVIORAL HEALTH:
Phone: (855) 294-1665
Fax: (503) 670-8349
Electronic data interchange (EDI)
For questions regarding electronic claim submission and payments and EFT/ERA enrollment form.
Email:
Toll-free: 888-784-7954
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
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: 541-298-2101
Toll-free: 800-493-0040
Fax: 541-298-7996
Medical Claims
P.O. Box 40384
Portland, OR 97240
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
Physical address: 601 S.W. Second Ave. Portland, OR 97204
Moda Health observes the following holidays. Business offices will be closed.
If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service
If you can't find an answer, please feel free to contact our Customer Service
Check benefits, eligibility, incentive and utilization
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:
Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
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