Text Size: Welcome Providers
Contracted Providence Health Plan providers in Oregon and southwest Washington log into ProvLink, via OneHealthPort, to:
- Verify patient benefits
- View patient roster
- Get claims information
- See quality reports
- Read newsletters
- Stay updated
News
- New! Providence Care Management nurses empower our members to take charge of their health.
- Member ID cards no longer contain benefit information. Please check ProvLink to verify your patients’ benefits.
Provider Resources
- ProvLink – your go-to source for Providence Health Plan forms, prior authorizations, coding, policies and more
- First Choice Health Network providers
- EDI vendors – view EDI vendors we work with to make your claims submission seamless
- Care management programs – learn about how we take our members’ health seriously
- Cost and quality – compare costs of care and how you rank in patient care and performance
- Health Balance® – Providence Health Plans' health and wellness program
- HIPAA 5010 requirements – review the latest information about electronic transaction 5010 requirements
- Pharmacy – formularies and mail order information
- Provider directories – search for other providers in the Providence Health Plan network
- Treatment Cost Estimator – estimate your patients’ out-of-pocket costs based on their health benefits
Medicare Advantage Resources
Provider Networks
- Commercial
- MCO – Workers’ Compensation
- Medicare Advantage
- PPO – Providence Preferred
- Medicaid (Oregon Health Plan)
- Behavioral health
Providence Health Plans delegates to United Behavioral Health (UBH), doing business as PBH, to administer behavioral health benefits for our members. Please inquire about joining the UBH provider network here. - Alternative health
Providence Health Plans delegates administration of alternative care to American Specialty Health (ASH). Providers must be contracted with ASH to be considered participating with Providence Health Plans. For more information, call 888-511-2743 or visit ASH online.
We value our relationship with our providers and appreciate all you do for our members.
New Member ID Card Design
Providence Health Plans is no longer printing benefit information, such as copay, deductible and coinsurance on insurance cards. Removing benefit information eliminates the need to reprint ID cards if benefits change, reducing costs and environmental waste. ProvLink is available 24 hours a day, seven days a week and is the most accurate place to verify eligibility and find member benefit information.
Pharmacy Mail Order
Learn more about the Walgreens and Wellpartner mail order services.