Health Share of Oregon holds a CCO contract with the State (OHA) which includes an obligation to coordinate third-party liability (TPL) activities. 

Health Share subcontracts with 12 different health plans (4 physical, 3 mental and 5 dental) and delegates its TPL responsibilities to those entities. As such, Health Share requires its plan partners to coordinate TPL activities on its behalf and some of them do that via a third-party subrogation firm.

Because of our delegation model, requests for accounting of medical claims should be referred directly to the client’s health plan. Health plan information can be found on the back of the members ID card (see sample ID Card on the right). 

Once you have health plan information, please use that to contact the appropriate person from the contact list below.