Moda Health
Also covers / subsidiaries: ODS Health Plan
Core Payer & Clearinghouse Profile
Electronic 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 Gateway
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.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Moda Health.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Moda Health.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Eastern Oregon Cco (Moda/Ods) | 13350 | Par | None | 837P837I835 ERA |
| Moda Health | 11005 | Par | None | 837P837I270/271Dental |
| Moda Health | 13350 | Par | Required | 837P837I835 ERA |
| Moda Health | 7498 | Non-Par | None | 837P835 ERA |
| Multi County Capcare | 13350 | Par | None | 837P837I835 ERA |
| Ods Health Plan | 13350 | Par | None | 837P837I835 ERA |
Resolution Tools for Moda Health Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Moda Health Denials & Delayed Payments?
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