Find us on Facebook We value your feedback and welcome your questions. There are lots of things Connect to Care and our partners are here to help your patients with: See if they're eligible for Medicare and help you enroll in the Oregon Health Plan, Help set uptheir medical, dental and behavioral health appointments, Connect them with trained staff to help coordinate their health care needs. Our Vision Champion the pursuit of human progress by improving the health of our community. The company said that on Feb. 5, 2020, letters were mailed to patients who could have had their data compromised. (how to identify a Oregon.gov website) Health Share's mental health and substance use provider network is managed by CareOregon. (6 days ago) WebClaims & Appeals Submission Claims Address US Family Health Plan/TRICARE Attn: Claims Department P.O. Materials include claims guides, integration toolkits, care coordination resources and more. To learn more, please contact your primary care provider. Posted By HIPAA Journal on Feb 7, 2020. Please note:CareOregon is not involved in any relationship with providers and Zelis Payments. As a Health Share member, you can use My Plan to securely access your plan information, show your ID card to get care, and view your account details. Download the free version of Adobe Reader. Portland metro area: 503-416-3955 , icaltransportation@careoregon.org. CareOregon Advantage (Medicare): Contact your Oregon Health Authority eligibility worker, or Visit ONE.Oregon.gov, or Call Trillium Member Services at 1-877-600-5472. If you need more than four tests per month, contact your PCP. Call or email our Customer Service team at (how to identify a Oregon.gov website) We're here to help you make the most of your membership. Size: 1 to 50 Employees. The Nurse Advice Line is open 24 hours a day, every day. , https://www.healthshareoregon.org/members, Health (Just Now) WebHealth Share of Oregon Provider Directory We've got you covered Find the best provider or clinic for you. Health Share of Oregon Contact Us. A .gov website belongs to an official government organization in the UnitedStates. Below, youll find contact and procedural information for providers. Are not enrolled in a CCO and need help finding a provider that accepts OHP open card. CareOregon is confirming clinics email addresses to ensure we can contact you with system alerts and other critical information. 800-431-4135, TTY: 711 Sign up for InTouch, your member portal with personalized health plan information. OHP website. Call Trillium Member Services at 1-877-600-5472. To submit claims electronically, use the same EDI Payer ID #93975 for all CareOregon entities (CareOregon Dental, CareOregon Advantage and CareOregon Medicaid claims). Be sure to identify each email with a name and job title. Urgent and immediate care clinic locations, Home Health, Hospice and Palliative Care providers, Office of Civil Rights Investigations and Compliance. For questions about your Medicare Part D pharmacy coverage, please call our Moda Health Customer Service at 503-265-4709 or toll-free at 888-786-7509. Learn how, An official website of the State of Oregon, billing OHA, make sure the NPI you bill under is the same one you have reported for your Oregon Medicaid ID. Our Customer Service representatives are uniquely trained and qualified to answer any questions you may have about your EOCCO plan. Feel better, faster. With this form, you can change your plan, add or remove dependents, or terminate your coverage. Please click herefor resources, including forms to request interpreting services, a language ID tool for your facility, I speak cards, and more. For questions regarding single claim inquiry, adjustment request, billing policies, our provider search tool (Find Care). Website Feedback. Read more: Details about whether you will qualify for OHP as the COVID public emergency ends. All Rights Reserved. Enrollment in Providence Health Assurance depends on contract renewal. CAC Contact. Physical health Dental health Behavioral health Pharmacy Find a primary care provider Get a ride How you know outreach program. We make it easy to find a primary provider or medical home youll love. View the back or inside of your Health Share ID card to locate the plan you have been assigned to. Register for a My Plan account Provider Resources. Thank you for your interest in joining CareOregons provider panel! Enter our Members section to find out if you're eligible, search for providers, learn about CareOregon benefits, and more. Umpqua Health Alliance. When autocomplete results are available use up and down arrows to review and enter to select. Enter "paper claims" for resources about submitting paper claims. OHP members:We want to make sure you have the information you need. Collective (PreManage): If your clinic uses this online platform, check the RCT tag after searching for your patient. Moda Health Provider Services. Learn You also can file a report online atwww.ethicspoint.com. Visit the OHP fee schedule page to learn more about maximum allowed rates.. Not sure which RCT to contact? Providers My Plan is for you. Its time to confirm your eligibility and renew your Oregon Health Plan coverage. Local: 503-243-3962. Details about whether you will qualify for OHP as the COVID public emergency ends, Mental health and substance use treatment, Community Giving grants for nonprofit organizations, CareOregon in your community (Connect to Care). Your browser is out-of-date! Would we be able to use this text under the video: Trillium was honored to be a sponsor for Harvesting Hope, where we shared this video about our commitment to whole healthcare. Go to the Oregon Health Plan's Office Closures page to learn more about the resources available on state office closure days. Member Resources To our providers You heal. Access patient health information. All Meds Ed participants receive CME credit for completed sessions. Please note that we cannot accept any personal information via email, such as your social security number, Oregon Health Plan or Health Share member numbers or any personal health information. Learn about fee-for-service claim processing, how to bill OHA on paper, and how to bill using the Oregon MedicaidProvider Portal. Please contact Zelis at 855-774-4392 or, 2. https://pacificsource.com/medicaid/contact-us, Health (7 days ago) WebYou may also contact your provider directly to talk about your concerns. Health Share ID Cards (OHP Members) You can use OHSU Health Services if your Health Share ID card lists OHSU Health Services as your physical health plan. Health Share of Oregon is Oregon's largest Medicaid coordinated care organization. You may also complete the New Contract Requests form here. Your physical health plan is listed on the back or inside of your Health Share ID card. Please be certain to include all applicable fields for consideration. If you have questions about your health plans, providers, benefits, rides to appointments, data breach information, and more, we , https://www.healthshareoregon.org/members/get-help, Health (6 days ago) WebCall 800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). Details about whether you will qualify for OHP as the COVID public emergency ends, Mental health and substance use treatment, Community Giving grants for nonprofit organizations, CareOregon in your community (Connect to Care). If you already have OHP, you can visit Oregon Health Plan Benefits under our Oregon Health Plan Members dropdown menu to get to your member handbook. We are available every weekday from 8 AM to 6 PM, and have a dedicated member of our Member Care Team waiting to answer your call. Customer Service is available to help you from 7 a.m. to 8 p.m., seven days a week. get signed up for it through the Oregon Health Plan. Each RCT is made up of care coordinators with a variety of backgrounds and experience, including: Online: Submit a completed Care Coordination Referral formand well route it to your assigned RCT. Oregon Medicaid Electronic Data Interchange Trading Partner Agreement OHA 2080 (Rev 7/17) Page 1 of 2 . Have a health-related question? Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. Call the nurse advice line at 1-800-893-5597 or access Telemedical services to talk with a doctor by phone or video at 1-800-835-2362 or the Teladoc website. In order to be eligible for payment, claims must meet CareOregon's policies, procedures and authorization requirements as described on this webpage and its links. Follow us on Twitter Below, youll find contact and procedural information for providers. View and download your member handbook to learn about your benefits and how to access care. CareOregon provides plan services to three Coordinated Care Organizations (CCO) and offers a Medicare Advantage plan supporting and enhancing sensible, localized, coordinated care. Instead, select the option for 835 enrollment upon registration through the ePayment center. Include VOE and employee last name in the subject line. . Dental Claim Submission . Enter "portal"forresourcesaboutsubmitting webportalclaims. You can also ask for an interpreter.This help is free. Our team of local customer service experts is available to help you Monday through Friday from 7:30 a.m. to 5:30 p.m. Pacific Time. To check your NPI information, contact, To look up the NPI of the ordering, referring, or rendering provider for a claim, use the, An official website of the State of Oregon , Other Health System Reform Related Topics, Birth, Death, Marriage and Divorce Records, Residential and Outpatient Behavioral Health, Other License and Certificate Related Topics, OHA ADA Policy and Request for Modification, If you have other billing questions not answered on this page, contact. To get care and services: Find a Mental Health or Substance Use Provider online Call CareOregon at 503-416-4100 Talk to your primary care provider (your main doctor or clinic) listed on your ID card Mailing address: PO Box 14015, Salem OR 97309, Press 2 for medication prior authorizations or pharmacy claims, Press 3 for other prior authorization questions, Press 4 for code pairing and Prioritized List questions, Press 5 for claims or Provider Portal help, Press 6 for enrollment, revalidation or credentialing. If you are looking for specific forms , Health (3 days ago) WebTo contact Health Share for more information call 503-416-8090 or visit www.healthshareoregon.org. Trillium is excited to award $18 million in grant funding for projects advancing health equity! Go to our EDI page to learn more., Make sure you bill any other payers first. Do not bill separately for each plan. Liberty HealthShare encourages our members to see their Primary Care Physician or provider yearly to maintain their health and well-being. No matter your health care need, we can help. How do we do that? Ride to Care gets a lot of Health Share members to their Oregon Health Plan appointments. After sending an email, a Health Share staff member will be in touch with you within 24 hours. Call 503-416-4100 or 800-224-4840 or TTY 711. Trillium Resource Exchange If you have additional questions, or would like to learn more about requesting consideration for a contract, please contact Customer Service at 800-224-4840 or 503-416-4100. Phone: 503-416-8090. That means they can get physical health care, but also dental and mental health care, too. General Contact. Youll need your ID card to receive services, so keep it with you at all times. Health Share provides free services to make sure you can communicate , Health (Just Now) WebNo matter your health care need s, we can help. Join the people who've already picked Trillium for outstanding personal service. Box 30546 Salt Lake City, UT 84130-0546 (or send to the address listed on the provider ERA) Online: umr.com. Let us help you find the plan that best fits you or your family's needs. To contact Health Share for more information call503-416-8090or visitwww.healthshareoregon.org. Only share sensitive information on official, secure websites. If you have other billing questions not answered on this page, contact Provider Services (800-336-6016). 005010X223A2 837I. Read about: an important message for providers. Phone numbers Medical/ Behavioral Health. Headquarters: Portland, OR. OHSU Health Services may cover more than four units per month when ordered by the PCP as a necessary component of an individualized care plan. Revenue: $500 million to $1 billion (USD) Explore different elements of patient medication risk, and improve your ability to contribute to a multi-disciplinary team. Only share sensitive information on official, secure websites. To update your information: Keeping your health coverage can help you stay healthy and live your life to the fullest. OHA is working with Health Share of Oregon, Willamette Valley Community Health and Yamhill Community Care to transition FamilyCare members. When submitting claims to CareOregon, you have several options: Send electronic claims to payer ID (93975). For billing purposes, OHA usesCurrent Procedural Terminology (CPT),Level II National Codes (HCPCS) andCurrent Dental Terminology (CDT)procedure codes. Health-related services (HRS) are CCO-optional services offered as a supplement to OHP-covered benefits. 18885193845, Call 800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). Use the search field to find resources by topic, keyword or document name. Call Health Share Customer Service 503-416-8090, or toll free at 888-519-3845 (TTY/TDD 711) For forms and guides in several languages, including appointment verification forms, visit this page. Health Share of Oregon (Tri-County Medicaid Collaborative) Application General Contact. Call our general care coordination line at 503-416-3731 or Customer Service at 503-416-4100 and well connect you to your assigned team. All other COVID-19 home test products require PCP order and prior authorization. Provider Contacts Listfor: Contact your Account Representative, Innovator Agent or Encounter Data Liaison. Download a PDF summary of this information here. To do that, you need to update your household information by April 1, 2023! As a CareOregon provider, you may have specific questions for us. What are you looking for? Call our 24-Hour NurseLine: 855-834-6150, TTY: 711. The blog can answer many of your more basic questions about Zion HealthShare and sharing with the community. Health Share of Oregon Provider Directory We've got you covered Find the best provider or clinic for you. OHSU Health Services works with Health Share to deliver the medical care you deserve and give you information about healthy living. But we changed the name so that its easier to understand what were all about connecting people with the care they deserve. Florida Orthopedic Institute Patients effected: $640,000 Let us help you find the plan that best fits your needs. 5034168090 We offer interpretation for members who prefer a language other than English. For medical care and benefits questions, contact PacificSource at: 800-431-4135, TTY: 711. Download the Provider Guide to Billing Out-of-Network CareOregon System Integration (BHSI) Utilization management handbook and forms Claims and Billing Resources Call: 503-416-4100 or 800-224-4840. <br>The webpage looks great! With care coordination through RCTs, we will deliverthe right care, at the right time, in the right place, with the right team. Contact them at 866-369-8805 for medical claims and 888-255-7293 for dental claims. Find us on Facebook feeling out of control) that could harm you or someone OHSU Health Services members can get at-home COVID-19 test kits at no cost. OHA expects providers to bill their usual and customary charges unless otherwise specified in the rules for a specific provider program; for example, OHA pays for some services at acquisition costs only. If you have questions about your health plans, benefits, rides to appointments and more, we are here for you. When we take care of each other, we tighten the bonds that connect and strengthen us all. Email: Send us a completed form to ccreferral@careoregon.org. Do you have questions about health plans and benefits? TTY users, please call 711. Call OHP Care Coordination at 800-562-4620 if you: Are not enrolled in a CCO and need nurse advice. If you have questions about your health plans, benefits, rides to appointments and more, we are here for you. For example, a product that comes in a package with two tests and directs the user to use the second test 36 to 72 hours after the first is counted as two tests. Beginning in April 2023, there will be new information guidelines about when and how often plan members will need to reapply for benefits. Learn about your benefits and how to maximize your Health Share Providence membership. An official website of the State of Oregon Professional Claim Submission . You can use OHSU Health Services if your Health Share ID card lists OHSU Health Services as your physical health plan. For all other matters, contact CareOregon Customer Service at the numbers above. 315 SW Fifth Ave Portland, OR 97204 Customer Service: CareOregon and Health Share/CareOregon: Call: 503-416-4100, toll-free 800-224-4840 or TTY 711 Email: customerservice@careoregon.org Hours : 8 a.m. to 5 p.m. Monday-Friday Click here to access our member portal to send us a secure message. Learn about and access your free health and wellness resources here. For help billing for services provided to coordinated care organization (CCO) members,please contact the member's CCO. OHSU Health Services works with providers to deliver your medical care needs. to smooth the way to better care and better outcomes. Enroll with CareOregon ePayment Center, administered by Zelisfor ACH direct deposit payment,at no cost. The office is open Monday through Friday, 7:30 a.m. to 5:30 p.m. PST. For urgent care, call your primary care provider 24 hours/day. For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite . Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. Find the best provider or clinic for you. When possible, call two business days ahead of your trip or ride. Call our 24-Hour NurseLine: 855-834-6150, TTY: 711. For technical questions or comments about our website, contact the web administrator. Learn more about OHP and the benefits that come with your membership. Providers For questions, please call 503-471-2149. Providers must complete training designed to educate on ways to prevent, detect, and correct instances of FWA. You can also use the "Search" box below to search for the right number to call by topic or contact type. OHP Provider Updates by text or email. The Oregon Health Plan (OHP) and Health Share work together with OHSU Health Services on different parts of your healthcare needs. Learn about feedback and complaints by clicking on your language of choice below: Copyright 2022 CareOregon, Inc. All rights reserved | Privacy policiesYou can get this information in other languages, large print, braille or a format you prefer. A .gov website belongs to an official government organization in the UnitedStates. PO Box 5308 Salem, OR 97304. (toll free at How you know This coverage is for home tests as a diagnostic tool, not a general screening tool; and does not replace coverage for COVID-19 testing done in clinics and labs. Call: Check the list below to see where your clinic is assigned, and call that number. We accept relay calls.You can get help from a certified and qualified health care interpreter. Choose one of the following teams to view contact information, hours of operation and to get assistance by phone or email. Copyright 2023 Providence Health Plan, Providence Plan Partners, and Providence Health Assurance. And how can it help your patients? Health Share of Oregon. Yamhill Community Care Organization. Our Regional Care Teams offer providers a community of resources with a single point of contact for you and your patients. All rights reserved | Email: [emailprotected], Health share care oregon prior authorization, Monarch healthcare claims mailing address, Best healthcare system in the world rankings, Alabama department of mental health montgomery al. You can also ask for an interpreter.This help is free. Call800-699-9075 (open 7 a.m. to 6 p.m. Pacific Time, Monday through Friday). Youve got options with your Health Share Providence (OHP) health plan. For example: Institutional Claims: Handbook and slides. Send CareOregon Advantage and OHP electronic claims to the same payor ID (93975). Your browser is out-of-date! Provider Contact. CareOregon Advantage (Medicare):Call: 503-416-4279, toll-free 888-712-3258 or TTY 711Hours: 8 a.m. to 8 p.m. every day, CareOregon Dental:Call: 503-416-1444, toll-free 888-440-9912 or TTY 711Hours: 8 a.m. to 5 p.m. Monday-Friday, Columbia Pacific CCO:Call: 503-488-2822, toll-free 855-722-8206 or TTY 711Hours: 8 a.m. to 5 p.m. Monday-Friday, Jackson Care Connect:Call:Toll-free 855-722-8208 or TTY 711Hours: 8 a.m. to 5 p.m. Monday-Friday, Housecall Providers:Call: 971-202-5500 or TTY 711. Learn more. You're the heart of our members' health care. Finding a provider is quick and easy with our interactive tool. Read about: an important message for providers. Call or email , https://www.healthshareoregon.org/providers/provider-resources/medical-and-dental-health, Health (6 days ago) WebCareOregon 315 SW Fifth Ave Portland, OR 97204 Customer Service: CareOregon and Health Share/CareOregon: Call: 503-416-4100, toll-free 800-224-4840 or TTY 711 , https://www.careoregon.org/about-us/contact-us, Health (4 days ago) WebNew to Health Share Providence? Every month, Connect to Care comes out to the communities where your patients live, all over the Metro area including Clackamas, Multnomah and Washington counties. For more information, visit theOregon Health Planwebsite. Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. When autocomplete results are available use up and down arrows to review and enter to select. Every day, CareOregon helps more than 500,000 Oregonians access free physical, dental, mental health care and prescription drug coverage through the Oregon Health Plan (OHP). Industry: Health Care Services & Hospitals. You will need Adobe Reader to open PDFs on this site. Go to your local in-network pharmacy to buy at-home tests using your pharmacy benefit at point of sale. Eligibility and enrollment Getting started as a new member OHSU Health Services covers at-home COVID-19 antigen testing kits through pharmacy point-of-sale (POS) for members who have symptoms consistent with COVID-19 or who have had confirmed or suspected exposure to COVID-19. Trillium was honored to be a sponsor for Harvesting Hope, where we shared this video about our commitment to whole healthcare. We can help you get a cell phone and service plan for telehealth care with your provider. Access everything you need to sell our plans. Please email VOE@careoregon.org. Contact us. Visit our provider directory to locate a doctor near you. Understand when and where to receive different types of care. My Plan Login: My Plan Login Page | Health Share of Oregon Sign in New to My Plan? We encourage you to report incidents of suspected fraud, waste, or abuse. Phone: Call the number listed on https://www.uhcprovider.com/en/admin-guides/administrative-guides-manuals-2022/umr-supp-2022/how-to-contact-umr-guide-supp.html Category: Health Show Health If you suspect that benefits aren't being used correctly or want to report a case of waste, abuse or fraud, please contact Ethics Point at 888-331-6524.
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