Payer ID
13350
13350 covers professional and institutional; legacy alt ID 'ODS' may appear.
Timely Filing Limit (TFL)
120 days from date of service
Appeal Window
Non-contracted providers: 60 calendar days from remittance notification date
Clearinghouse
Availity; Change Healthcare
Provider Services
888-217-2363
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.modahealth.com
Oregon-based plan serving OR and AK, formerly ODS Health Plan.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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