Ohsu Health Services Referral And Authorization Form
Listing Websites about Ohsu Health Services Referral And Authorization Form
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 # _____
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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 …
https://www.ohsu.edu/referral-service
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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 …
https://www.ohsu.edu/health-services
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How to refer a patient to OHSU
(9 days ago) WebStep 1: Choose a referral method. We accept referrals by fax. You can also send an electronic referral (eReferral) if you are referring: To OHSU or Hillsboro Medical Center. …
https://www.ohsu.edu/referral-service/refer-patient-ohsu-step-step-instructions
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AuthorizAtion to use And disclose protected heAlth …
(Just Now) WebGenetic testing information Drug/alcohol diagnosis/treatment or referral information You do not need to sign this authorization. Health Information Services, OP17A, OHSU, …
https://codederm.ohsu.edu/pdf/patient_authorization_form.pdf
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Case Management Referral - OHSU
(6 days ago) WebIs the member aware of referral? ☐Yes ☐ No . If not, explain: _____ Please provide information regarding referral/member concerns: Please secure email this form and …
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Health Insurance Portability and Accountability Act of 1996 (HIPAA)
(9 days ago) WebReferral authorization requests; Other transactions for which HHS has established standards under the HIPAA Transactions Rule. Health plans: Health plans …
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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 …
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TEL 503-494-4567 OHSU Referral Form 800-245-6478
(7 days ago) WebTEL 503-494-4567 TOLL FREE 800-245-6478 Please indicate the specialty to which you are referring your patient: Allergy and Immunology Arthritis and Rheumatology Bariatric …
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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 …
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 …
(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 …
https://www.ohsu.edu/sites/default/files/2024-03/OHSU-HS-prior-auth-list-03.01.2024.pdf
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Frequently asked questions about OHSU referrals
(Just Now) WebSelect your patient’s name. Go to the “Referrals” tab. Click on “Chart Review”. Open the referral. You should see activity so far, such as medical review of the referral or a …
https://www.ohsu.edu/referral-service/refer-patient-ohsu-faq
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OHSU Health Services Prior Authorization List Effective …
(3 days ago) WebOHSU Health Services Prior Authorization List Effective 01/01/2021 For any codes found on this list, Authorization is required. You may use the link below to find the OHSU …
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OHSU Health Services Prior Authorization List Effective …
(Just Now) WebOHSU Health Services Prior Authorization List Effective 03/01/2022. For any codes found on this list, Authorization is required. You may use the link below to find the OHSU …
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Head and Neck Cancer OHSU
(8 days ago) Web3. Fax the referral and all records to 503-346-6854. * Referral notes or forms should include: Patient name, date of birth, sex, address and phone number; Referring …
https://www.ohsu.edu/referral-service/head-and-neck-cancer
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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 …
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OHSU Health Services EPSDT Prior Authorization List (Under 21)
(2 days ago) WebOHSU Health Services EPSDT Prior Authorization List (Under 21) For any codes found on this list, Authorization is required. You may use the link below to find …
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Health Information Services - OHSU
(7 days ago) WebHealth Information Services / Medical Correspondence 3181 SW Sam Jackson Park Rd, Mail Code: OP17A . Portland, OR 97239-3098 (503) 494-8521, Fax (503) 494-6970 . …
https://www.ohsu.edu/sites/default/files/2019-04/ROI%20FILLABLE.pdf
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OHSU Health Health Related Services Request Form
(6 days ago) WebOHSU Health -Health Related Services Request Form ☐ Item Description Service/Treatment Goal: **For OHSU Health Services use Only** - Final Determination …
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Adult Referral Form - OHSU Healing Begins with Discovery
(2 days ago) WebOHSU 3181 S.W. Sam Jackson Park Road Portland, OR 97239-3098 TEL 503-494-4567 TOLL FREE 800-245-6478 FAX 503-346-6854 Thank you for referring your patient to …
https://www.ohsu.edu/sites/default/files/2019-04/AAS%20ADULT%20REFERRAL%20FORM.pdf
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