Majoris Network Providers: Partners in Care

Our commitment to Providers

Majoris providers are critical to the success of our enrolled workers’ recovery. Unlike most networks, we invest in our provider relationships through ongoing outreach and support. We aim to provide tools that enhance practice success within the workers’ compensation space. Majoris network providers are our partners in care, and we strive to build a mutually beneficial relationship that sets high standards of care for workers’ compensation patients.

Network Providers

For network providers, please access our array of tools and information through the Majoris Provider Portal. Here, you have access to:

  • The Majoris Provider Manual
  • Majoris Treatment Guidelines
  • Recent newsletters and memos
  • Reference materials
  • The Online Precertification System

For any questions or support requests related to network participation, please contact our team of network experts at [email protected].

For any questions related to precertification requests, please access the Online Precertification System to review real-time status updates.

For any other claim specific question, use our [claim rep look-up tool] for contact information.

Interested in becoming a Majoris Paneled Provider?

To join our provider panel, the first step is to submit a membership application. You can email the application to [email protected] or fax it to (503) 601-8438.

View Application

Please Note:

Submitting a membership application does not guarantee participation. Majoris values partnerships that ensure broad and adequate medical care for patients across the states where we are certified. We carefully select applicants to build a network of providers well-versed in the workers’ compensation system, open to collaboration with other stakeholders, and sized to maintain strong relationships and meet the needs of our worker population.

Since enrolled workers typically need to establish care with in-network providers, it is crucial that our network members meet stringent credentialing and workers’ compensation expertise standards. Upon receiving a complete membership application, our provider relations team will review it to determine if your practice meets a current need within our network. If so, we will contact you to discuss contract terms and request credentialing for each of your treating providers.

Credentialing Applications

The below forms can be used if you are seeking to add a new treating provider to your existing Majoris network contract, or if you have been requested by Majoris staff to submit credentialing as part of your panel membership application.

Oregon Provider Credentialing Application

View Application

Texas Provider Credentialing Application

View Application

Wyoming Provider Credentialing Application

View ApPlication

Montana Provider Credentialing Application

View Application

You may return your application to:

By Mail:

Majoris Health Systems, Inc

Attention: Provider Relations

P.O. Box 1728

Lake Oswego, OR 97035

By Fax:

503-601-8438

By Email:

[email protected]

Majoris Providers Portal

Majoris offers a unique medical review process that ensures high-quality care from enrollment to resolution. We proactively monitor key events, maintain regular communication with claims adjusters and managers, and leverage our physician reviewers to handle complex cases. Our approach includes:

  • Proactive File Review Medical Management
  • Medical Treatment Reviews by Board-Certified Physicians
  • Evidence-Based, Peer-Reviewed Guidelines
  • Physician-to-Physician Treatment Collaboration

Additionally, we address common concerns within the workers’ compensation system with innovative programs like our prospective opioid management and sprain/strain programs. This ensures treatment plans and physical restrictions are informed by objective findings, are focused on the work injury, and incorporate a progressive return to work and life activities. The result is higher quality care and significant long-term savings.

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Better networks create better results.

Majoris is selective in the providers we partner with, seeking those who understand the unique demands of treating workers’ compensation patients and who meet high credentialing standards. Our provider relations staff keeps in close contact with our providers to support strong relationships, providing training on workers’ compensation best practices and outreach on individual cases experiencing administrative stall-outs.

When there are questions about treatment, providers can expect to speak with a board-certified physician with a background in treating injured workers. Our outreach is centered on collaboration, with the goal of finding the right treatment plan for each patient’s unique needs.

Credentialing

Credentialing goes beyond confirmation of licensure and malpractice history – we look at past treatment records to ensure there is evidence of sound medical reasoning, reliance on objective medical findings and integration of daily activities and work into the overall rehabilitation plan.

Best Practice Standards

To support their responsibilities as a provider of care to injured workers, Majoris developed a series of guidelines, protocols and techniques to facilitate efficient delivery of care within the workers’ compensation framework. This includes support of other stakeholders’ responsibilities.

Our provider manual offers a road map of best practice, streamlining the flow of required information to reduce effort and administrative burden for all. Our treatment guidelines are derived from evidence-based medicine and specific to the workers’ compensation patient population when the data is available.

All network providers have committed to following these best practices, and our provider relations team provides hands-on support when needed to ensure information is received and timelines are met.

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We utilize sophisticated IT solutions, featuring customized programs and advanced data interfaces. The result is seamless collaboration with all stakeholders and high data integrity. Our cutting-edge technology streamlines operations, enhances communication, and drives effective collaboration.

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Claim Rep Tool Down

The Claim Rep Tool is currently down. Our IT department is looking into the issue and this notice will go down once the issue is resolved.

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