Ohp 3113 form-2025

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The document is a Non-Payable Provider Enrollment Form for enrolling providers with Oregon Medicaid for purposes other than direct reimbursement. It outlines the required information needed for enrollment, including personal details, service location, Medicaid enrollment information, and group affiliation. The form must be completed accurately to avoid processing delays and includes sections for taxonomy codes, effective date of enrollment, and reasons for enrollment.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the income limit for an Oregon Health Plan?

To get an NPI, apply online at the National Plan and Provider Enumeration System (NPPES) website. To look up your NPI information, use the NPI Registry.

How to obtain an NPI number in Oregon?

❶ Authorized representative This person can act for you to apply for benefits. This person knows your situation. They can report changes. The Department of Human Services (DHS) and Oregon Health Authority (OHA) can discuss your case with the person you name.

What are the requirements to get an NPI number?

What information do I need to apply for an NPI? Reason youre submitting the application. Identifying information, including name, SSN and/or ITIN. Name of your organization, including EIN. Mailing and practice location addresses. Other provider identification numbers you have, if applicable. 10-digit provider taxonomy code.

What is an authorized representative for Oregon Health Plan?

By telephone (toll-free): 800-699-9075 Existing members can call OHP for any of the following: Change your address, phone number, family status, CCO or other information.

Can I start residency without an NPI number?

Yes, you can start residency without an NPI number but residents may need an NPI number during clinical rotations, administrative tasks and for billing under supervision.

oha 3113

Ohp 3113 form pdf OHA 3975 form OHP Provider Enrollment OHP prior Authorization Form OHA Provider Enrollment forms OHP Provider Portal OHA 3972 form How do i get a DMAP number in Oregon

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What is the easiest way to get an NPI number?

There are several ways to find your NHI number, including on: a prescription or prescription receipt. a prescription medicine bottle label. a hospital letter. an x-ray or test result. by checking your profile on the online patient portal provided by your general practice.

Ohp 3113 form-2025

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Got questions?

What is the income limit for an Oregon Health Plan?

How to obtain an NPI number in Oregon?

What are the requirements to get an NPI number?

What is an authorized representative for Oregon Health Plan?

Can I start residency without an NPI number?

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What is the easiest way to get an NPI number?

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