To promote quality care, patient safety and the most appropriate use of healthcare resources, Moda Health utilizes the evidence-based MCG® for:

The MCG are developed using the industry's most rigorous evidence-based methodology. All content is reviewed annually and updated as necessary by doctors and nurses who cite more than 15,000 unique references, including peer review journals in the current seven-product Care Guidelines series. MCG epidemiologists then examine databases that cover a significant portion of the United States population to validate that these published research results are achievable in real-life situations.

The adoption of these new guidelines will not affect your process for notifying Moda Health of admissions or for seeking prior authorization approval. Those phone calls should still be directed to the Moda Health Medical Intake Unit at 503-243-4496 or toll-free at 800-258-2037. Moda Health will continue to use the focus list of services requiring prior authorization.

If you have any additional questions about these changes, please call our Medical Customer Service department at 503-265-2964 or toll-free at 888-217-2363. You also can review the MCG online at

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


Search for answers to questions about your health plan. Go to Frequently Asked Questions Frequently Asked Questions Frequently Asked Questions

If you can't find an answer, please feel free to contact our Customer Service Customer Service 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


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:

Changing your location to Oregon

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