Useful Links and Forms

Government Programs

 

Physicians Quality Reporting System (PQRS) Enrollment

https://www.cms.gov/pqri/

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules

http://www.hhs.gov/ocr/privacy/

NPI Registry

http://www.oregon.gov/OHPPR/ACPCI/state_app.shtml

Region D RAC Auditor

https://racinfo.healthdatainsights.com/Public1/NewIssues.aspx?State=OR

Technical fact sheets and FAQs about CMS's Meaningful Use Incentive Programs

http://www.cms.gov/ehrincentiveprograms/

OIG Provider Compliance Training Materials

http://oig.hhs.gov/compliance/provider-compliance-training/index.asp?ref=widget

Medicare Learning Network (Official CMS educational products and information for Medicare Fee-For-Service Providers)

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNGenInfo/index.html?redirect=/MLNGeninfo/

 

Government Health Plan Links and Forms

 

Federal Department of Labor Office of Workers Compensation

http://owcp.dol.acs-inc.com/portal/pef/Login.do

Medicare

Centers for Medicare and Medicaid Services

http://www.cms.gov/

Medicare Group Provider

http://www.cms.gov/CMSforms/downloads/cms855b.pdf

Medicare Individual Provider

http://www.cms.gov/cmsforms/downloads/cms855i.pdf

Medicare Individual Reassignment of Benefits

http://www.cms.gov/cmsforms/downloads/cms855r.pdf

Medicare Participation Agreement

http://www.cms.gov/cmsforms/downloads/cms460.pdf

Medicare Electronic Funds Transfer Authorization

https://www.cms.gov/cmsforms/downloads/cms588.pdf

 

Medicaid

Oregon Medicaid

http://www.oregon.gov/DHS/healthplan/tools_prov/providerenroll.shtml

FamilyCare

https://portal.familycareinc.org/eHEALTHsuiteWeb/?specialTo=ViewProviderDetailSubmit

CareOregon

http://www.careoregon.org/provider/qnxt.html

Washington Medicaid

http://hrsa.dshs.wa.gov/providerEnroll/New%20Provider.htm

Columbia United Providers (CUP)

https://www.cuphealth.com/provider.aspx

Medi-Cal

http://files.medi-cal.ca.gov/pubsdoco/prov_enroll.asp


Oregon Specific Forms

Oregon Physician Credentialing Application

http://www.oregon.gov/OHPPR/ACPCI/state_app.shtml

 

Commercial Payer Contacts

 

Managed Health Network

http://www.mhninc.com/

Portland IPA

https://www.portlandipa.com/secured/index.asp

NaviNet

https://navinet.navimedix.com/Main.aspx

Providence Health Plans

http://www.providence.org/healthplans/providers/default.aspx

Aetna

http://www.aetna.com/

Cigna

http://www.cigna.com/customer_care/healthcare_professional/medical/index.html

Regence BCBS of Oregon

http://www.or.regence.com/provider/

Blue Cross Blue Shield Federal Employee Program

http://www.fepblue.org/

Premera Blue Cross

https://www.premera.com/stellent/groups/public/documents/xcpproject/home.asp

Regence Select Counties of Washington

http://www.regence.com/WARBS/index.jsp

HealthNet

https://www.healthnet.com/portal/provider/selectRegion.do?region=OR&forward=provider.home

Beechstreet

http://www.beechstreet.com/providers/index.html

Humana

http://www.humana.com/providers/

Great-West Healthcare

https://www6.greatwesthealthcare.com/Providers/home.aspx

Lifewise of Oregon

https://www.lifewiseor.com/LWOR/groups/public/documents/xcpproject/p_landing.asp

Oregon Breast & Cervical Cancer Program (BCCP)

http://www.oregon.gov/DHS/ph/bcc/index.shtml

Washington State Department of Labor & Industries

http://www.lni.wa.gov/formpub/Detail.asp?DocID=1652

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