Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

We're only a call or mouse click away

Our team of experts is available to answer your calls Monday through Friday from 7:30 a.m. to 5:30 p.m., excluding holidays.

Please review the information below to determine which team is best suited to provide assistance. Please do not email more than one team as this will not increase your response time.

Contact information

Medical Customer Service
For questions regarding single claim inquiry, adjustment request, billing policies, our provider search tool (Find Care).
Email:
Phone: 888-217-2363

Moda Health Provider Services
For questions related to escalated claim inquiries, contract interpretation, educational opportunities, or onsite visit requests.
Email:

Credentialing
For questions regarding How to become credentialed, status of your credentialing application.
Email:
Phone: 855-801-2993

Provider Nominations
For questions regarding the status of a new contract request submitted more than 30 days ago.
Email: providernominations@modahealth.com

Provider Updates
For demographic changes such as Practice location address, Practitioner additions and deletions.
Email:

Referral and Authorizations
For questions regarding Referrals and Authorization and how to submit a request:

MEDICAL
Phone: (800) 592-8283
Fax: (503) 243-5105
Toll Free Fax: (800) 522-7004

BEHAVIORAL HEALTH:
Phone: (855) 294-1665
Fax: (503) 488-3674

Electronic data interchange (EDI)
For questions regarding electronic claim submission and payments and EFT/ERA enrollment form.
Email:
Phone: 888-784-7954

Benefit Tracker (EBT)
Email:
Phone: 877-277-7270

Professional Services Line
Phone: 877-337-0650
Fax: 503-243-3964
Press 1 for the Referral and Authorization Unit
Press 2 for the Medical Unit
Press 3 for the Dental Unit

Pharmacy Customer Service
Phone: 888-361-1610
Fax: 800-207-8235

Healthcare Services: Case management & disease management
Phone: 800-592-8283
Fax: 503-243-5105

Medical Intake
Phone: 800-258-2037
Fax: 503-243-5105

Oregon Health Plan (OHP)

Pharmacy Customer Service
Phone: 888-474-8539
Fax: 503-948-5556

Healthcare Services (Authorizations & Referrals)
Phone: 888-474-8540
Fax: 503-243-5105

Medical Customer Service
Phone: 888-788-9821

Chemical Dependency
Phone: 800-493-0040
Fax: 541-298-7996

Claims submission

Medical Claims
P.O. Box 40384
Portland, OR 97240

OHP mailing addresses

Medical Claims
PO Box 40384
Portland, OR 97240

Behavioral Health Claims (GOBHI)
PO Box 5940
Salem, OR 97304

Complaints and Appeals
Moda Health Plan, Inc.
Attn: Appeal Unit
601 S.W. Second Avenue
Portland, OR 97204

Pharmacy Claims
P.O. Box 3625
Portland, OR 97208

Address

Physical address: 601 S.W. Second Ave. Portland, OR 97204

Moda Health Holidays

Moda Health observes the following holidays. Business offices will be closed.

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

Member Dashboard

Questions?

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

Questions?

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

Employer web tools

Benefit Tracker

Check benefits and eligibility

Log in

Account help

Request an account

Provider Reports

For value-based provider programs, including Synergy, Summit, Beacon, Affinity, CPC+, and EOCCO

Log in

Join our email list

Sign up

Benefit Tracker

Check benefits, eligibility, incentive and utilization

Log In

Account help

Create an account

Producer web tools


Hello.

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:

Hello.

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.