Moda Health. Healthcare from your head to your toes. Contact us FAQs Medical provider overview Benefits & eligibility Authorization & referrals Patient care programs Join our network Provider resources Patient resources Pharmacy Quality of care COVID-19: Updated guidance for medical providers - Learn the latest around telehealth billing - Moda's commitment to providers Welcome, medical providers Thank you for partnering with Moda Health. We appreciate your partnership because we know you — like us — are committed to providing our members with the best care. As our valued partner, we want to make sure you have the tools and resources you need to continue providing excellent care. Benefit Tracker Moda Health's Benefit Tracker is an online resource designed with you in mind. With Benefit Tracker, you have the ability to look up all the information you need, such as: Benefits Eligibility Claims status Referrals Provider Resources Referral/prior auth See which services need prior authorizations, are always not covered or are not medically necessary. You can also learn about our injectable drug program and review our medical necessity criteria. Learn more > Reimbursement See our Reimbursement Policy Manual to view our latest policies on modifiers, surgery, anesthesia and other categories. Learn more > Provider news Check out current and past Medical Provider Newsletters and read notices of changes and updates to billing policies, pre-authorization lists and industry regulations. Learn more > Provider reports For value-based provider programs, including Synergy, Summit, Beacon, Affinity, CPC+, and EOCCO Forms Looking for a form? Find, download and complete a form. Go to forms > Questions? Need personalized help? Our award-winning customer service is here for you. Contact us > Commercial Preferred Provider Organization Exchange Exclusive Provider Organization NCQA Accreditation is a nationally recognized quality evaluation that purchasers, regulators and consumers can use to assess health plans Press room Careers Customer Service Terms of use Privacy policy HIPAA Non-discrimination statement Español Tiếng Việt 中文 한국어 Tagalog العربية اردو русский Français فارسی हिन्दी भाषा Deutsch 日本語 ગુજરાતી ໄທລາວ український Română Hmoob ភាសាខ្មែរ Oromiffaa ไทย Samoan Ilocano Polski Copyright © 2021 Moda, Inc. All rights reserved. Health plans provided by Moda Health Plan, Inc. Individual medical plans in Alaska provided by Moda Assurance Company. Dental plans in Oregon provided by Oregon Dental Service, dba Delta Dental Plan of Oregon. Dental plans in Alaska provided by Delta Dental of Alaska. This site is meant to help you learn about plans and healthcare for you and your family. This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with the federal Marketplace. If questions regarding benefits arise, the summary of benefits and coverage document is the master resource. Hello. Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience: Select a state