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Providence Health Plan

Commercial

Also covers: PHP, Providence

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.

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