Quick Reference Guide “Customer Assistance for OHP Members”

Assistance for OHP members
How to direct OHP members who need assistance –
Process in effect during 2014 implementation (review for updates in March 2014)
Benefits, coverage packets, ID cards and other member issues
Client Services Unit – 1-800-273-0557 or 503-945-6801
If a member has questions about coverage packets, benefits, ID cards and related issues,
please direct them to the Client Services Unit (CSU). CSU is open 8 a.m. to 5 p.m., Monday
through Friday but closed for lunch 12:30 to 1:30 p.m. every day.
[email protected]
Members can also e-mail any questions [email protected]
Urgent health care needs (except pharmacy issues)
OHP Nurse Triage line – 1-800-562-4620
If an OHP member has urgent health care decision needs that are not pharmacy-related,
please direct them to the OHP Nurse Triage line. Members can call any time, 24/7 and speak
with a nurse.
If a member has concerns about a prior authorization or care coordination need
please connect them to client services.
Staff may contact the Medical Unit for help coordinating immediate concerns.
If an OHP member is enrolled in a CCO, please have them call the CCO customer
service line.
Pharmacy issues
Oregon Pharmacy Call Center – 1-888-202-2126
If a member is at a pharmacy and the pharmacist cannot verify their OHP status, the
pharmacist can call the Oregon Pharmacy Call Center.
Eligibility, applications or related issues
OHP Statewide Processing Center – 1-800-699-9075
If a potential OHP member has issues regarding applications or eligibility, please direct them
to the OHP Statewide Processing Center.