OHSU Health Services for Providers and Clinics
Provider information and benefit tracker
Online information about medical eligibility, benefits, claims and referral information.
Information and resources
Downloadable resources
Ride to Care information
- NEMT: Ride to Care
- Appointment verification form
- NEMT provider letter
- For general questions, please contact icaltransportation@careoregon.org.
Coding and documentation education resources
OHSU Health 2021 Coding Education Webinars
- To sign up for webinars, please contact Lynn Stachlowski, CPC, CRC, CPC-I, CPEDC Email: stachlow@ohsu.edu Phone: 503-418-7755
Provider newsletters 2021
- HCC Informant September 2021 (COVID-19 and ICD-10 updates)
- HCC Informant August 2021 (epilepsy and seizures)
- HCC Informant July 2021 (drug use disorder)
- HCC Informant June 2021 (depression, bipolar, schizophrenia)
- HCC Informant May 2021 (blood disorders)
- HCC Informant April 2021 (vascular diseases and ulcers)
- HCC Informant March 2021 (diabetes)
- HCC Informant February 2021 (obesity and malnutrition)
- HCC Informant January 2021 (HCC coding)
Coder newsletters 2021
- ICD-10 Informant September 2021 (ICD-10 updates)
- Epilepsy Documentation Checklist, August 2021
- ICD-10 Informant August 2021 (epilepsy and seizures)
- ICD-10 Informant July 2021 (drug use disorder)
- ICD-10 Informant June 2021 (depression, bipolar, schizophrenia)
- ICD-10 Informant May 2021 (blood disorders)
- ICD-10 Informant April 2021 (vascular diseases and ulcers)
- ICD-10 Informant March 2021 (diabetes)
- ICD-10 Informant February 2021 (obesity and malnutrition)
- ICD-10 Informant January 2021 (HCC coding)
Powerpoint presentations 2021
Becoming a provider
OHSU Health Services seeks to provide a diverse network of providers for our members. Providers interested in joining the network may complete the provider information form to be considered for contracting and credentialing. The form must be completed in its entirety. Submission of the provider information form does not guarantee network participation. Questions? Call 503-418-7750 or emailOHSUHealthPrvRelations@ohsu.edu
Downloadable resources
- Abdominoplasty/Panniculectomy
- Aducanumab (Alzheimer's disease)
- Air Ambulance
- Allergy Testing – Blood
- Anesthesia for Endoscopic Procedures
- Balloon Dilation of Eustachian Tube
- Corneal Collagen Cross-linking (CXL)
- Hydrogen Breath Testing
- Intravitreal Avastin
- Mobile Outpatient Cardiac Telemetry (MOCT)
- Push Rim-Activated Power-Assist Device for a Manual Wheelchair
- Serum Antibodies for Diagnosis of Inflammatory Bowel Disease
- Skin and Tissue Substitute
- Surgical Treatment for Achalasia
- Therapeutic Drug Monitoring
- Urinary Incontinence Treatment
- Vagus Nerve Stimulation (VNS)
Oregon Health Decisions provides information and tools for Health Care Providers on their website. Learn more.
Oregon State Agency Requested Medical Records – Anytime an Oregon state agency is requesting medical records, they will provide one of two forms to providers. If the patient is an Oregon Health Plan member on the date of service, the agency will provide Form 729 which allows the provider to bill the Division of Medical Assistance Programs for the cost of medical record copying charges (and mailing if applicable). In order to be paid by DMAP, the provider must complete an HCFCS 1500 and attach the Form 729 for the claim to be processed by DMAP. While the form offers a physical mailing address as a means to submit these forms, it is more efficient (and trackable) to submit using the EDI portal (the same portal used to process Open Card submissions). Questions about the portal should be directed to DMAP Provider Relations at 800-336-6016. If the patient is not an Oregon Health Plan eligible member on the date of service, the agency will provide Form 501A which allows the cost of the medical record copying charges (and mailing if applicable) to the Oregon General Fund (through the agency requesting the records).
For further assistance
Call 503-418-7750 or email ohsuhealthprvrelations@ohsu.edu.
OHP and OHSU Health forms
Below are forms and links you may need.
- HCPC codes for Ostomy and Urological Supplies - Updated
- Fraud and Waste - See Something, Say Something
- Advance-Directive
- Appeal and Hearing Request
- Client Agreement to Pay
- Consent to Sterilization (ages 21 and over)
- Consent to Sterilization (Ages 15-20)
- Denial of Medical Services Appeal and Hearing Request
- Guide to Oregon’s Declaration for Mental Health Treatment
- Hysterectomy Consent
- OHSU Health Member Authorization Allowing Healthcare Provider to Use/Disclose Protected Health Information
- OHSU Health Authorization Request
- OHSU Health Services Complaint
- OHSU Health Services Case Management Referral Form
- OHSU and HS Nondiscrimination Notice
- Oregon Health Plan Newborn Notification
- Oregon Health Plan Pregnancy Notification
- Protected Health Information Disclosure Authorization
- Provider Disclosure Statement of Ownership and Control Form
- Provider Enrollment Request
- EviCore advanced imaging procedures and services requiring prior authorization
- EviCore cardiology procedures and services requiring prior authorization
- Acuerdo de pago por parte de clientes del OHP por servicios médicos
- Autorización para esterilización (edad 15-20)
- Autorización para esterilización (21 años y más)
- Autorización del miembro para permitir la divulgación de información protegida sobre la salud a otra persona o entidad
- Consentimiento para histerectomía
- Formulario de Quejas del Plan de Salud de Oregon
- Guía para la Declaración para el Tratamiento de la Salud Mental en Oregon
- Solicitud de apelación y audiencia por denegación de servicios médicos
- Прошение о проведении апелляции и слушания в связи с отказом в предоставлении медицинского обслуживания
- Соглашение об оплате медицинских услуг, полученных участником программы медицинского страхования OHP
- Бланк для подачи жалобы для участников программы льготного медицинского страхования штата Орегон (ОНР)