Claims
Hints to reduce claims processing time, information on filing electronic claims, and common explanations for disputed claims.
Referrals & Authorizations
Guidelines for referrals and authorizations.
Policies / Manuals
ODS policies and provider manuals for healthcare providers.
Benefit Tracker
Online tool providing eligibility look up, claims status, referral inquiries and more.
Medical Necessity Criteria
Criteria guide for providing medical services.
Forms / Samples
Commonly used forms and samples of ODS ID card and Explanation of Benefits.
Frequently Asked Questions
Answers to questions about ODS Commercial Plans and the Oregon Health Plan (OHP).
Disease Management
Useful information on disease management.