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- 503-243-3948 or
800-578-1402
Forms & Resources
Resources
- Provider Search
- Request ID Card, Change Address or PCP
- Dental Explanation Of Benefits (EOB) sample (PDF File)
- Medical Explanation Of Benefits (EOB) sample (PDF File)
- Glossary
Enrollment Forms
- Individual Medical & Dental Enrollment (Online Application)
- Individual Medical & Dental Enrollment (PDF File)
Claim Forms
- Dental Claim Form (PDF File)
- Medical/Vision Claim Form (PDF File)
- Prescription Drug Claim Form for Med Impact Plans (PDF File)