Payer ID
SX133
Clearinghouse-dependent: SX133 (Optum/Change, SSI Group) or PHP01 (Office Ally, Trizetto, VisibilEDI).
Timely Filing Limit (TFL)
365 days from date of service
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
Optum/Change Healthcare; Office Ally; SSI Group; Trizetto
Provider Services
800-878-4445
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Providence Health Plan, P.O. Box 4327, Portland, OR 97208-4327
Provider Portal
https://phpprovider.providence.org/portal/login
Oregon-based plan serving OR and WA. Payer ID is clearinghouse-specific (SX133 or PHP01).
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
Aethera's AR team works Providence Health Plan every day — payer rules, appeals, and clean-claim submission, handled.
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