OHP.Oregon.gov/Providers

Oregon Health Plan Resources for Providers: Check claim status, member eligibility and more

Find the Resources You Need to Serve Oregon Health Plan Members

Thank you for serving Oregon Health Plan (OHP) members! If you are new to OHP, Keys to Success gives an overview of how to work with OHP:

Verifying OHP eligibility and benefits
Prior authorization
What to do before providing services to OHP members
How OHP works with other insurance
Billing OHP
Member billing prohibitions
Quick links and resources

To keep informed, please sign up for OHA's ebulletin for OHP providers, Provider Matters.

Read Keys to Success - Partnering with OHP >> Read the latest Provider Matters >> Find OHP Forms >>

Provider icon

Become
a provider

Health coverage icon

Coverage and reimbursement

News icon (megaphone)

Provider announcements

Login icopn

MMIS
Provider Portal

Prior
authorization

Data interchange icon

Electronic data interchange

Rules icon

Provider
guides

Resolve Claims icon

Resolve
claims

Report
fraud

Checkmark

Check member eligibility

Submit icon

Submit
claims

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Coordinated care organizations