Convenient and easy benefits management
Providers in the Moda Health network have access to Benefit Tracker, our free online tool to help you get the information you need, when you need it.
- Eligibility details
- Cost-sharing information
- PCP info
- Claims status
- Online authorization/referral entry
Authorizations and approvals
The process for identifying the need for prior authorizations and obtaining approvals can depend upon the type of care you provide and how much information you share with us to inform decisions. We’ll guide you through, step by step, to help expedite the process. Select the type of service you need to provide to get started.
Claims
Discover the steps to take to submit claims electronically, (ensuring that your claims are more quickly processed), learn the pro tips to ensure your claims are complete, and get answers on how to handle some unique situations, like when a patient has two insurance carriers. Let us walk you through what you need to know.
Payments
Ready to sign up for direct deposit? Looking for your Explanation of Payment (EOP) or need to issue a refund? We’ve got the forms, resources and contact information to handle your payment needs.
We’re here to help
Our team of experts would be happy to answer your questions and help you find what you need. Use the customer service number on the back of your patient's Moda Health ID card to reach us.