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We believe that the health of a community rests in the hearts, hands, and minds of its people. When we take care of each other, we tighten the bonds that connect and strengthen us all. Providers are essential to the health and well-being of our member community. We're here to give you the support and resources you need.
- Provider Information
Provider Information - Providers | Providence Health Plan
- Providers Networks
Providers Networks - Providers | Providence Health Plan
- Provider Relations Representative
Provider Relations Representative - Providers | Providence...
- Electronic Claims
Providence Health Plan (PHP) designates Zelis to carry out...
- Benefits 101
Find an in-network provider by searching the provider...
- Provider Information
- Your Healthcare Team
- Your Dedicated Team Works Together to Provide You with The Best Care
- Your Medical Home Options
- Choose Your Medical Home and Let Us Know What Medical Home You Select
- Questions?
You are part of a care team that has the right medical experts to help take care of your health needs. It may include: 1. Primary care provider 2. Care coordinator 3. Nurse practitioner 4. Registered nurse 5. Physician assistant 6. Medical assistant 7. Social worker 8. Pharmacist 9. Behaviorists 10. Specialists, when needed
You are the most important part of the medical home experience. Your voice matters. Working closely with your care team, you'll make decisions about what's best for your health, together.A team of health care professionals will get to know you and your unique health situation. Your care team coordinates your care when you need it. You and your care team focus on prevention, wellnes...Coordinated and connected care are basic components of your experience, so you, your care team and health plan are on the same page. Electronic medical records improve team awareness of your health...Navigating the health system can be challenging. Your care team will help you do just that. A member of your care team will help you navigate the health system by coordinating care with other provi...Search the provider directory to see a list of providers in our medical home networks: 1. The Providence Choice Network 2. The Providence Connect Network
To make the most of your Providence Choice or Providence Connect plan benefits, your medical home experience and your health, choose a medical home and be sure to let us know which medical home you’ve selected. The same or a different medical home may be selected for each enrolled member. To designate a medical home: During enrollment (i.e., if you...
If you have questions about the Providence Medical Home, contact a Providence Customer Service team member at 503-574-7500 or 800-878-4445(TTY: 711).
People also ask
How do I contact Providence Health Plan?
Does Providence Health Plan pay in-network providers?
How do I pay my Providence Health Plan premium?
How do I contact Providence Medical Home?
You can find in-network providers by visiting our Provider Directory, available online at http://phppd.providence.org/ or calling Customer Service at 1-800-878-4445 to get information about a mental or behavioral health provider’s participation with Providence Health Plan and your benefits.
Pay Online Now. If you are active and already enrolled with Providence Health Plan, you can also pay with your Providence subscriber ID through our Providence Pay by Phone services, available 24 hours a day, 7 days a week. Individual & Family Plans: 1-844-791-1467 (For TYY dial 711) Medicare Advantage Plans: 1-844-791-1468 (For TYY dial 711 ...
Providence Health Plan offers commercial group, individual health coverage and ASO services. Providence Medicare Advantage Plan is an HMO, HMO-POS and HMO D-SNP with Medicare and Oregon Health Plan contracts under contract ID H9047.
Referral Process. How do I make an appointment with a specialist? Do I need a referral? If you have a PPO insurance plan, you don't need a referral to a specialist for an initial consult. You may need referrals for tests and procedures, depending on your health plan.