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Oregon Health Authority

OHP.Oregon.gov/Providers

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

 Weekly claim reprocessing to begin Jan. 31, 2025

Oregon Health Authority (OHA) plans to reprocess fee-for-service claims paid on or after April 1, 2023. This is to adjust funding information on the claims. This activity will not change any payments already made to you. The claims adjustment section of the remittance advice will list these claims. The claims will have an Internal Control Number beginning with "52." Please contact Provider Services at 800-336-6016, option 5 with any questions.

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 >>
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