Physical + Dental Health Resources

Physical + Dental Health Resources

Partnering for community health

Health Share works through multiple affiliated health plan partners to meet the medical and dental needs of its members in Clackamas, Washington, and Multnomah counties. 

In order for physical and dental health providers to serve Health Share members, they must be contracted for the Medicaid line of business with one or more of our physical or dental health plans. Health Share does not directly contract with physical or dental health providers.  

All questions, concerns, and problems regarding contracting, authorizations, billing, grievances and services related to physical or dental health need to be directed to the member’s specific physical or dental health plan.

Health Share members may choose from one of four physical health plans and one of five dental health plans.  

Providers can find the physical and dental health plans to which a member is assigned on the member’s Health Share ID card, or in the Health Share Provider Portal (CIM)

If you do not have access to the Health Share Provider Portal, you can call the Health Share Customer Service at 503-416-8090 or toll free at 888-519-3845.  

Physical Health Plan Contacts

Provider Contracting
Phone: 800-224-4840
Email: newcontractrequest@careoregon.org
Online

Provider Oregon Medicaid Enrollment
Email: ProviderUpdates@careoregon.org 
Enrollment Form
Enrollment Info

Provider Relations
Phone: 503-416-4100 or 800-224-4840, Option 3 for Provider
Fax: 503-416-1478
Online

Authorizations/Referrals
Policies and Forms
Authorization Guidelines
Frequently Asked Questions

Claims Submissions
Electronic Claims: Providers should access their clearinghouse to identify the Payer ID for CareOregon claims.
Paper Claims: Paper claims should be mailed to:
CareOregon
P.O. Box 40328
Portland, OR 97240-0328

You can call either 503-416-4100 or 800-224-4840 to reach CareOregon Provider Services for questions regarding claims submissions. 

Please visit CareOregon’s Provider Support page for more information regarding claims submission.

Claims Inquiries
Email: claimshelp@careoregon.org *
* All emails containing protected health information (PHI) must be sent in a secured manner.*
Phone: 503-416-4100 or 800-224-4840, Option 3 for Provider

FWA Reporting
Online: CareOregon or ethicspoint.com 
Phone: 888-331-6524

Provider Manual
Online

Provider Webpage
Online

Provider Portal
Online Portal Login 
Online Portal Tutorials

Provider Contracting
Phone: 503-813-3376

 Provider Oregon Medicaid Enrollment
Email: NW-Provider-Enrollment@kp.org

Provider Relations
Phone: 503-813-3376

Authorizations/Referrals
Online

Claims Submissions
Electronic Claims: Providers should access their clearinghouse to identify the Payer Id for Kaiser claims.

Paper Claims: Paper claims should be mailed to:
Kaiser Permanente National Claims Administration 
P.O. Box 370050
Denver, CO 80237-9998

Visit Kaiser’s provider manual for more information regarding claims submission.

Claims Inquiries
Phone: 866-441-1221 or 503-735-2727

FWA Reporting
Phone: 888-774-9100

Provider Manual
Online 

Provider Webpage
Online

Provider Portal
Online

Provider Contracting
Email: PHPProviderContracting@providence.org 

Provider Oregon Medicaid Enrollment
Phone: 503-574-7500 or 800-878-4445

Provider Relations
Online

Authorizations/Referrals
Online
(must sign into Provlink to view)

Claims Submissions
Electronic Claims:
Providers should access their clearinghouse to identify the Payer ID for Providence and can visit the Providence EDI website for more information. 

Paper Claims: Paper claims should be mailed to:
Providence Health Plans
Attn: Claims Processing
P.O. Box 3125
Portland, OR.. 97208-3125

Claims Inquiries
Phone: 503-574-7500 or 800-878-4445

FWA Reporting
Phone: Call Providence Health Plan's Special Investigations Unit at 503-574-8505 or toll free at 888-233-4101
Mail:
    Special Investigations Unit
    Providence Health Plans
    P.O. Box 3150
    Portland, Oregon 97208-3150
Online: Complete the External Referral Form (PDF). Print it and send it by
mail or secure fax to 503-574-8142

Provider Manual
Online
(must sign into Provlink to view)

Provider Webpage
Online

Provider Portal
Online

Provider Contracting
Email: Erin.Blume@tuality.org   
Phone: 503-681-1688

Provider Oregon Medicaid Enrollment
Email: alexis.underwood@tuality.org 

Provider Relations
Email: Lori.Quon@tuality.org 
Phone: 503-681-1166 
Fax: 503-681-1981

Authorizations/Referrals
Online
Phone: 503-844-8104
Fax: 503-681-1823

Claims Submissions
Electronic Claims: Providers should access their clearinghouse to identify the payer ID for Tuality claims. You can call either 503-844-8106 or 866-575-8104 to learn how to submit electronic claims. 

Paper claims should be mailed to:
Tuality Health Alliance
P.O. Box 925
Hillsboro, OR 97123

Click here for more information regarding claims submissions.

Claims Inquiries
Phone: 503-844-8106 or 866-575-8104

FWA Reporting
Phone: 866-297-0489
Mail:
Tuality Health Alliance
Attn: Chief Compliance Officer
P.O. Box 925
Hillsboro, OR 97123

Provider Manual
Online

Provider Webpage
Online

Provider Portal
Online

Dental Health Plan Contacts

Provider Contracting + Customer Service 
Phone: 866-268-9631

Provider Contracting + Customer Service
Phone: 503-416-1444 or 888-440-9912

Provider Contracting + Customer Service
Phone: 503-813-2000 or 800-813-2000

Provider Contracting + Customer Service
Phone: 503-243-2987 or 800-342-0526

Provider Contracting + Customer Service 
Phone: 503-952-2000 or 855-433-6825