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How-to · Health care

Respond to a bill for care that OHP covers

If you get a bill for a service OHP or your insurance should cover, do not pay yet; make sure the provider bills OHP, then follow the steps below.

Steps

4 steps
  1. Call the provider's officeGive them all your ID numbers and ask staff to bill these resources.
  2. If you get a second bill, call your planCall your CCO or OHP Client Services and say a provider is billing you for a service OHP covers.
  3. Appeal if told you must payCCO or insurance members can appeal. With no CCO, write to OHP or call Client Services.
  4. Confirm the bill is paidIf your plan says you do not owe it, call the provider so they know.

Bring

  • Oregon Health ID and CCO member ID
  • Copy of the bill
If you signed an Agreement to Pay for a service OHP does not cover, you do have to pay the bill.

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