Forms
All City of Portland employees can use these forms for reimbursement of a covered service from a provider that DID NOT bill us directly:
- Medical and vision claim form
- Dental claim form
- OTC COVID-19 at home test medical member reimbursement form
City of Portland firefighters can get their annual NFPA 1582 physical at no cost. Firefighters should complete sections 1 and 3 of the following claims form.
Once completed, send them to our team using one of the following methods:
- Mail: P.O. Box 40384 Portland, OR 97240
- Fax: 855-522-9809
Questions?
We're here to help. If you have any questions or need assistance, please contact our customer service team at 877-337-0649.
Hello.
We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
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