Get contact info by department below. And, find out when our offices are open.
Moda Health Provider Relations
For escalated claim inquiries, contract interpretation, educational opportunities and onsite visit requests
ProviderRelations@modahealth.com
Credentialing
For questions regarding How to become credentialed, status of your credentialing application.
credentialing@modahealth.com
855-801-2993
Referral and authorizations
For questions about referrals, authorizations and how to submit requests:
888-474-8540
Fax: 503-243-5105
Electronic data interchange (EDI)
For questions about electronic claim submission, payments and EFT/ERA enrollment forms:
edigroup@modahealth.com
888-784-7954
Benefit Tracker (EBT)
For questions about our eligibility and claims tracking tool:
ebt@modahealth.com
877-277-7270
Healthcare Services: Case management & disease management
800-592-8283
Fax: 503-243-5105
Medical Customer Service
For eligibility, claim inquiries, adjustment requests, questions about our billing policies:
844-931-1775 (individual plans)
844-248-7877 (employer-sponsored plans)
medical@modahealth.com
We're available 8:30 a.m. to 6:30 p.m. Monday through Friday, Mountain Time.
Pharmacy Customer Service
888-361-1610
601 S.W. Second Ave.
Portland, OR 97204
See a full list of contact details including provider relations and customer service.