At Moda Health, we respect the privacy of your protected health information and will maintain its confidentiality in a responsible and professional manner.
Moda Health has a companywide commitment to comply with each of the standards mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
We appreciate your use of our website and respect your private information. Learn more:
Member PHI authorization for all plans - this Protected Health Information (PHI) authorization form, specific to Moda Health, allow us to disclose certain health and claim information to the person whom you authorize. This form does not allow the authorized person to change or manage any of your account information (appeals, addresses, ID cards). For that type of Authorization, see Other Legal Documents below. Please read PHI Form instructions for more details.
NOTE: Due to recent workflow process changes because of the Corona Virus (COVID-19), please email or fax the PHI Authorization Forms instead of mailing them. While email or fax is preferable, PHI Authorization Forms that are mailed will still be accepted.
If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service
If you can't find an answer, please feel free to contact our Customer Service
For value-based provider programs, including Synergy, Summit, Beacon, Affinity, CPC+, and EOCCO
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Log in with your current username and password to create quotes for groups up to 50.
Producer DashboardIf you are creating an account for an adult member of your family, that member must have given you permission to set up an account in his/her behalf. If permission has not been provided, you may be violating the privacy of that individual's information.
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