For Oregon insured plans, prior authorization for benefit coverage and medical necessity shall be binding
if obtained no more than 60 days prior to the date the service is provided, and eligibility shall be binding
for 5 business days from the date of the authorization except in the case of fraud or misrepresentation.
For other plans, services are subject to eligibility and plan provisions.
Health plans provided by Moda Health Plan, Inc. Individual medical plans in Alaska provided by Moda Assurance Company. Dental plans in Oregon provided by Oregon Dental Service, dba Delta Dental Plan of Oregon. Dental plans in Alaska provided by Delta Dental of Alaska. Summit Health plans provided by Summit Health Plan, Inc.