Billing and Insurance
How you pay for your healthcare depends on if you have health insurance and the type of insurance you have.
Referrals
Some insurance companies require you to get authorization (approval) from them, a referral from your doctor or both before you get treatment. Be sure to ask your insurance company what they require before you get any treatment. Make sure you get any authorization or referrals you need. If you do not do this, you might have to pay all the charges, even if your insurance company normally pays for the type of treatment you receive.
Registration
Please give us all your insurance information. This includes your main (primary) insurance information and any other insurance you have (secondary insurance). Always bring your insurance card to the hospital or clinic. If your insurance, address or phone number has changed since your last appointment, please let us know.
Co-payments
Even if you have insurance, you may still be required to make a payment at each appointment or treatment. This your insurance co-payment. Please pay this when you come for your appointment.
Your insurance coverage and benefits
Please contact your insurance company before your visit to OHSU to check your benefits (what the plan will pay for) and coverage (how much treatment or how many appointments). Be sure to ask your insurance company if they pay for treatment at OHSU.
Insurance plans and medical networks that include OHSU
OHSU participates in the insurance plans and medical networks listed below. We provide their members with primary and specialty care.
This list does not include every insurance company or medical network that pays for OHSU treatment. If you want to get treatment at OHSU, and your plan or network is not listed, call your insurance company to ask if they cover OHSU treatment.
- PPO, Managed Choice, Elect Choice, Choice POS II plans
Provider Service Center at 888 632-3862 - Primary Choice (HMO), QPOS and US Access Plans
Provider Service Center 800 624-0756
Beech Street Preferred Provider Organization
800 877-1444
CareOregon
503 416-4100 or 800 224-4840
ChoiceCare Network (Humana)
800 626-2741
Coventry-First Health Preferred Provider Organization
800 937-6824
First Choice Health (Healthcare Direct) Preferred Provider Organization
For claims and benefits information, please call the number on the Member ID card.
- Preferred Provider Organization Galaxy Health Network Provider Search
- Medical Savings Card > non-contracted; not accepted at OHSU
For claims and benefits information, please call the number on the Member ID card.
Health Future
800 452-2558
Customer Contact Center (non-Medicare plans)
888 802-7001
Kaiser Permanente
800 813-2000
LifeWise
800 596-3440
Managed Healthcare NW (Cancer Treatment)
- MHN Provider Relations Department 503 413-5800
- MHN Medical Claims - Robyn Fischer, Claims Coordinator 503 413-5800
MultiPlan / Private Healthcare System (PHCS) Preferred Provider Organization
- PHCS Network
866 680-7427 - PHCS Healthy Directions
800 678-7427 - The MultiPlan Network
888 342-7427
ODS Preferred Provider Organization
- Medical Intake Line (Referral and authorizations)
503 243-4496 - Professional Services Line
503 243-3968
PacificSource
800 624-6052
- Providence Exclusive Provider Organization (EPO)
503 574-7500 or 800 878-4445 - Providence Health Plan Customer Service
503 574-7500 or 800 878-4445 - Providence Preferred Customer Service
503 574-7600 or 800 793-9338
Regence BlueCross BlueShield of Oregon
Customer Service 503 225-6619 or 800 365-3155
- Samaritan Choice Plans (self-funded) Member Services
866 300-4100 - InterCommunity Health Network (Medicaid) Member Services
800 757-5114 - Samaritan Advantage Health Plan (Medicare Advantage Plan) Customer Service
800 317-7489
- Member Relations - call 866 393-0966 Monday - Friday, 9 a.m.- 4 p.m. PST
- Contracting and Credentialing
Chris Majomut - Direct Line: 619 600-4829; Fax 619 600-4813; Email: cmajomut@trpnppo.com
Joshua Majomut - Direct Line: 619 600-4807; Fax 619 600-4813; Email: jmajomut@trpnppo.com
Seth Breeden - Direct Line: 619 600-4810; Fax 619 600-4813; Email: sbreeden@trpnppo.com
TriWest Health Care Alliance - Military Personnel only
888 874-9378
Tuality Health Alliance
503 681-1018 or 800 681-1901
- Care Coordination Department
800 638-7388 - PacifiCare - A United Healthcare Company
800 624-8822