Ohsu Health Services Prior Authorization

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OHSU Health Services Referral and Authorization

(8 days ago) WEBPatient Information Patient Name_____ DOB _____ OHP Client ID # _____ Group # _____ PCP/On Call Doctor Information PCP/On Call Doctor _____TIN # _____

https://www.ohsu.edu/sites/default/files/2020-10/OHSU%20Health%20Services%20Referral%20and%20Authorization_Oct2020.pdf

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OHSU Health Services Prior Authorization List Effective …

(7 days ago) WEBOHSU Health Services Prior Authorization List Effective 03/01/2024 For any codes found on this list, Authorization is required. You may use the link below to find the OHSU Health Services Referral and prior authoirzation form. Please review …

https://www.ohsu.edu/sites/default/files/2024-03/OHSU-HS-prior-auth-list-03.01.2024.pdf

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OHSU Health Services Prior Authorization List Effective …

(7 days ago) WEBOHSU Health Services Prior Authorization List Effective 12/01/2023 For any codes found on this list, Authorization is required. You may use the link below to find the OHSU Health Services Referral and prior authoirzation form. Please review …

https://www.ohsu.edu/sites/default/files/2023-12/OHSU-HS-prior-auth-list-12.01.2023.pdf

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OHSU Health Services Prior Authorization List Effective …

(6 days ago) WEBContact OHSU Health Services Customer Service at: 844-827-6572. Effective 10/1/2021, the codes below are only managed by OHSU Health Services. The PA can be submitted to OHSU Health Services directly. J7186 Yes Alphanate J7193 Yes AlphaNine SD, …

https://www.ohsu.edu/sites/default/files/2022-06/OHSU%20HS%20COMPLETE%20prior%20auth%20list%2006.2022%20W%20table%20of%20contents_JL.pdf

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OHSU Health Services Prior Authorization List Effective …

(3 days ago) WEBFor any codes found on this list, Authorization is required. You may use the link below to find the OHSU Health Services Referral and prior authoirzation form. Please note that this list encompasses ALL authorizations. (Codes that must be processed by OHSU Health …

https://www.ohsu.edu/sites/default/files/2021-02/OHSU%20HS%20PA%20Complete%20PA%20list%2002.02.2021.pdf

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OHSU Health Services OHSU

(6 days ago) WEBCall the Oregon Health Authority’s Customer Service Center at 800-699-9075 weekdays between 7 a.m.-6 p.m. Interpreters are available. Call OHSU Health Services Customer Service at 844-827-6572 (for TTY users, 711) weekdays between 7:30 a.m.-5:30 p.m.

https://www.ohsu.edu/health-services

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AuthorizAtion to use And disclose protected heAlth …

(Just Now) WEBTo revoke this authorization, please send a written statement to: Med. Correspondence, Health Information Services, OP17A, OHSU, 3181 S.W. Sam Jackson Park Road, Portland, OR 97239-3098, and state that you are revoking this authorization.

https://codederm.ohsu.edu/pdf/patient_authorization_form.pdf

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OHSU Health Services

(6 days ago) WEBReferral/Authorization Contact Numbers. • OHSU Health Services Prior Auth Team phone number - 844-931-1774 • OHSU Health Services Prior Auth Team fax number 833-949-1887 • OHSU Health Services standard Customer Service phone …

https://www.ohsu.edu/sites/default/files/2023-07/OHSU-Health-Services-ref.auth-presentation-02.08.2022.pdf

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OHSU patient referrals

(7 days ago) WEBCall our Patient Transfer Center at 503-494-7000 or 800-648-6478, 24 hours a day. If you are calling about a mutual patient: During regular business hours: Please call the clinic directly. After hours: Please call 503-494-8311 to speak with an OHSU operator who can …

https://www.ohsu.edu/referral-service

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Provider Tools OHSU

(4 days ago) WEBPrior Authorization Guidelines. Step Therapy Guidelines. Note: Clinical coverage guidelines are developed by a team of health care professionals based on standards of practice at the time of approval. Guidelines are used as a basis for making coverage …

https://www.ohsu.edu/pharmacy/provider-tools

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Oregon Health Plan Members OHSU

(3 days ago) WEBCall the Oregon Health Authority’s Customer Service Center at 800-699-9075 weekdays between 7 a.m. and 6 p.m. Interpreters are available. If you are an OHSU patient: Call OHSU Health Services Customer Service at 844-827-6572 (for TTY users, 711) …

https://www.ohsu.edu/health-services/oregon-health-plan-members

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OHSU Health Services

(7 days ago) WEBOHSU Health Services Prior Auth Team phone number - 844-931-1774. OHSU Health Services Prior Auth Team fax number 833-949-1887. OHSU Health Services standard Customer Service phone number 844-827-6572. Contact eviCore by phone at 844-303 …

https://www.ohsu.edu/sites/default/files/2021-02/OHSU%20Health%20Services%20ref.auth%20presentation%2001.13.2021.pptx

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OHSU Health Services Pharmacy Resources OHSU

(6 days ago) WEBOHSU Health Services Pharmacy Resources. For prescriptions covered under your plan, select the Formulary box below. Call OHSU Health Services pharmacy support at 844-827-6572 from 8 a.m. - 5 p.m., Monday - Friday. The formulary is a list of drugs that are …

https://www.ohsu.edu/health-services/ohsu-health-services-pharmacy-resources

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Medical Records Health Care OHSU

(3 days ago) WEBOption 1: You may request your records via MyChart Sharing Hub. Option 2: Use this form to request access to your own medical records. You can submit the completed form: By fax to the Release of Information Team: 503-494-6970. If you have any questions, call …

https://www.ohsu.edu/health/medical-records

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Medication Exception/Prior Authorization Request Form - OHSU

(7 days ago) WEBMedication Exception/Prior Authorization Request Form Fax this form and supporting chart notes to (503) 346-8351 . For questions, contact OHSU PBM Services at 844-827-6572 . Patient Information . Last Name: First Name: ID#: Phone #: Date of Birth:

https://www.ohsu.edu/sites/default/files/2019-11/OHSU-Health-Services-Authorization-Request-Form-OHSU-Health-logo.pdf

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Injectable Medication Prior Authorization list - OHSU

(6 days ago) WEBPrior Authorization list Updated 03/27/20 Procedure code Brand name J9264 Send PA to Magellan Rx Abraxane J3262 Send PA to Magellan Rx Actemra J0800 Send PA to Magellan Rx Acthar HP J3590 Send PA to Magellan Rx Adakveo J9042 Send PA to …

https://www.ohsu.edu/sites/default/files/2020-03/OHSU%20Health%20Services%20Injectable%20Medication%20Prior%20Authorization%20List-April1-2020.pdf

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Oregon Health Plan Eligibility and Benefits OHSU

(Just Now) WEBOHP mental health services are managed by CareOregon. Customer Service Contact Information: CareOregon and Health Share/CareOregon: Call: 503-416-4100, toll-free 800-224-4840 or TTY 711. Email: [email protected]. Hours: 8 a.m. - 5 p.m., …

https://www.ohsu.edu/health-services/oregon-health-plan-eligibility-and-benefits

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OHSU Health Health Related Services Request Form

(6 days ago) WEBOHSU Health -Health Related Services Request Form funding will be discontinued; and flexible services are intended to cover one time need or limited duration of ongoing needs. Determinations are final and cannot be appealed - - Dx code pertaining to request: …

https://www.ohsu.edu/sites/default/files/2020-05/OHSU%20Health_Health%20Related%20Services%20Request%20Form_June.pdf

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Medication Exception/Prior Authorization Request Form - OHSU

(8 days ago) WEBMedication Exception/Prior Authorization Request Form Fax this form and supporting chart notes to (503) 346-8351 . For questions, contact OHSU PBM Services at 1-833-247-6880 . Patient Information . Last Name: First Name: ID#: Phone #: seriously …

https://www.ohsu.edu/sites/default/files/2019-07/Authorization%20Request%20Form%20-2.pdf

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Provider Manual - OHSU

(3 days ago) WEBOHSU Health IDS PROVIDER MANUAL 04/2023 Contact Information OHSU Health IDS Customer Service P: 844-827-6572 Hours 7:30 a.m. – 5:30 p.m. weekdays

https://www.ohsu.edu/sites/default/files/2023-05/IDS-Provider-Manual-April.2023.pdf

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