Oregon

Providence Health Plan

Combined Prior Authorization List 

Medical Policy, Reimbursement Policy, Pharmacy Policy, and Provider Information 

Providence Health customer service:
Authorizations, Member Benefits, and Eligibility
Monday to Friday, 8 a.m. to 5 p.m. Pacific standard time

Main Customer Service numbers:
Medicare 503-574-8000, 800-603-2340
All other lines of business 503-574-7500, 800-878-4445
Main Healthcare Service Medical Management 800-638-0449, option 5

Fax numbers:
BH PA 503-574-8110
BH CCR 503-574-8192

Provider Relations:
Credentialing and contracting
Monday to Friday, 8 a.m. to 5 p.m. Pacific standard time carelonbehavioralhealthphppr@carelon.com
National Provider Service Line 800-397-1630

Claims:
Claims payment questions
Monday to Friday, 8 a.m. to 5p.m. Pacific standard time
carelonbehavioralhealthphppr@carelon.com

EDI Helpdesk:
ProviderConnect technical questions
888-247-9311
Monday to Friday, 8 a.m. to 6 p.m. Eastern time