Oregon

Providence Health Plan

Combined Prior Authorization List 

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

Customer service:
Authorizations, member benefits, and eligibility

Medicare: 503-574-8000, 800-603-2340
All other lines of business: 503-574-7500, 800-878-4445
Healthcare Service Medical Management: 800-638-0449, option 5
Monday to Friday, 8 a.m. to 5 p.m. Pacific time

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

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

Claims payment questions:
carelonbehavioralhealthphppr@carelon.com 

Electronic data interchange (EDI) help desk:
ProviderConnect technical questions: 888-247-9311
Monday to Friday, 8 a.m. to 6 p.m. Eastern time