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Oregon Health Plan
Oregon Health Plan

Provider Web Portal

https://www.or-medicaid.gov. - Free, real-time information available 24 hours a day, 7 days a week

To access the Provider Web Portal, you must be a current Oregon Medicaid provider. You do not need to complete a Trading Partner Agreement. DMAP issues eligible providers a PIN letter to access the Web portal. If you need a PIN, contact DMAP Provider Services (800-336-6016). If you are a current user and need access to certain features, contact your office administrator.

 

 

How to set up your account 

You just need the Personal Identification Number (PIN) letter issued by DMAP, your Oregon Medicaid Provider ID, and access to the Internet. If your provider type is eligible for National Provider Identifier (NPI), you must register your NPI with DMAP in order to access Web functions.

 

If you have a Web portal administrator in your office, that person can give you access to the Web portal and the specific features you need (such as Claims, Eligibility, Plan of Care, Prior Authorization, Benefits and HSC List.Inquiry). If you do not have a Web administrator in your office and lost or did not receive a PIN letter, contact Provider Services.

 

 

Quick reference guides, tutorials and handbooks 

Account setup - What to do when you get your PIN Quick reference Tutorial
Account administration - Clerk setup and maintenance Quick reference Tutorial
Eligibility - Verify client eligibility and managed care enrollment Quick reference Tutorial
Benefit and HSC inquiry - Find out if services are currently funded on the Prioritized List of Health Services; also contains client copay information Quick reference Tutorial
Prior authorization - Submit new and check status on existing PA requests Quick reference Tutorial
Billing:
Professional claims – General instructions Handbook Tutorial
                                 – Mental Health instructions Handbook Tutorial
Institutional claims Handbook Tutorial
Pharmacy claims Handbook Tutorial
Dental claims Handbook Tutorial
Roster billing – Mental health option; bill per current plans of care Quick reference  
Claim adjustments Handbook Tutorial

 

 

Need help?

DMAP Provider Services Unit (PSU) is available during regular business hours to help enrolled fee-for-service providers. Learn what PSU can and cannot do.

  • Requesting a new PIN: If you have lost your PIN for the Provider Web Portal and you need to request a new one, e-mail your provider name and Oregon Medicaid provider number to Team.Provider-ACCESS@state.or.us or call Provider Services. Due to privacy regulations, original PINs must be reissued through the mail. You will receive a new PIN in three to four days.
  • Resetting passwords: Once your Provider Web Portal account has been set up, Provider Services can reset your password over the phone during regular business hours. Call 800-336-6016. Press 5 for resets.
  • Free provider training Go to the OHP Provider Training page to sign up for free Webinars about using the Provider Web Portal, billing DMAP, and more.

 

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Page updated: February 10, 2012