Search all provider tools
Use the Search field to find the tool you need. For example, enter "guide" to view all provider guides, "claim" or "billing" to view tools related to claims or billing, or "APC" to view all ambulatory payment classification (APC) tools.
Need help? If you can't find what you need on this page or in the "Important Links," see our provider contacts list, and the list at the bottom of this page. If you need help with approval or payment for services to a CCO member, contact the CCO.
Recent provider updates
To view all recent OHP announcements, visit our Announcements page.
Forms and publications
View OHP Billing Tips or the provider guidelines for your program for more information about provider forms. Find forms for enrolling as an OHP provider on our Provider Enrollment page.
- Click the "Form and Description" heading to sort or select by Form. You can also sort or select by Language.
- To view all OHP forms and publications, visit our Forms page.
|OHA 6625||OHA 6625 - Order Form for Applications||English|
|OHP 2410||OHP 2410 - Newborn Notification||English|
|OHP 405T||OHP 0405T - Medical Transportation Order||English|
Questions and answers for OHP providers
Use the Search field to filter the questions for your search term.
Registration, technical assistance for electronic data interchange (EDI) trading partners
Nurse advice, and information about available providers, for members not in an OHP medical plan
Becoming an OHP provider or updating your information
Complex billing questions, appeals and requests for claim reconsideration
Determining OHP coverage for specific condition / treatment pairs
OHP Code Pairing and Prioritized List Hotline - 800-336-6016 (option 4) or 503-945-5939
Fee-for-service medical and dental prior authorization requests
PA Line - 800-336-6016 (option 3) or 503-945-6821
Fee-for-service pharmacy prior authorization requests
Oregon Pharmacy Call Center - 888-202-2126
DHS|OHA Electronic Funds Transfer (EFT) Coordinator - 503-945-6872
DHS Fraud Hotline: 888-FRAUD01 (888-372-8301)
Report third-party liability (TPL) to DHS/OHA
Provider Web Portal password resets
Behavioral health prior authorization requests