Indemnity and PPO-based benefit plans: 1 (800) MD-AETNA (632-3862)
HMO benefits plans: 1 (800) 624-0756
Provider Relations: 1 (800) 882-4462
Health Net Health Plan of Oregon
Provider Contact Center: 1 (888) 802-7001
Kaiser Permanente Northwest
Claims Administration & Billing: 1 (800) 813-2000
Lifewise Health Plan of Oregon
Provider Relations: 1 (800) 596-3382, option 4
MODA Health Plan (formerly: ODS)
Professional Services Line: (503) 243-3962; Toll Free: 1 (877) 605-3229
PacificSource Health Plans
Provider Network: (541) 684-5580; Toll Free: 1 (800) 624-6052
Providence Health Plans
Customer Service: (503) 574-7500; Toll Free: 1 (800) 878-4445
Regence BlueCross BlueShield of Oregon
Provider Customer Service Portland: (503) 225-6619; Toll Free: 1 (800) 722-5086
Provider Customer Service Salem: (503) 371-3249; Toll Free: 1 (800) 228-0978
Health Care Professionals Line: 1 (877) 842-3210
OMA’s Contracting Workshop Series
Over the past few years, contracting with health plans has become both more complex and more economically important to physicians. Many seemingly innocuous contract terms can have devastating effects on the physician practice. To have a greater impact on the contracting process, physicians and their office managers/administrators must be equipped with the tools necessary to deal directly with health plans. The OMA offers educational workshop designed to help you secure more favorable contracts with health plans and assure that companies are adhering to the payment terms and conditions of those contracts. Learn more at www.theOMA.org/workshops.
To obtain a copy of available contract reviews, call (503) 619-8000.
Reflecting the urgency of the need for physician leadership in the ongoing reform activities at the state and national levels, at the OMA’s 137th House of Delegates meeting in 2011, OMA physicians formally adopted the AMA’s Health Insurer Code of Conduct, which tags health insurers with guidelines for specific practices, including cancellation and rescission; medical loss ratios; respectful relations with patients and physicians; and honoring physician discretion and professional judgment in ordering treatment, among several others.