For copies of your Billing Record

For Patients
If you would like a copy of your billing records for yourself or to send to another person or company, please send us a letter and include the following information:

  1. Patient’s full name
  2. Patient’s date of birth
  3. Date(s) of service or date range of the billing records you want
  4. Purpose of your request (e.g., personal use, physician, attorney, court, etc.)
  5. Delivery address
  6. Patient’s account number, if known
  7. The requesting person’s name, signature, and date
  8. The requesting person’s relation to the patient (e.g., self, parent, personal representative)
  9. If the personal representative is signing the letter on behalf of the patient, please provide a description of your authority to act on behalf of the patient and a copy of official documentation granting this authority.

For Third Parties
If you are a third party (e.g., attorney’s office, car insurance company, etc.) and are initiating a request for a patient’s billing records, please download the Authorization Form below and have the patient complete it.

Authorization Form (PDF)
Authorization Form (Word)

Where to Send Your Request
You may send your letter or completed Authorization Form to the OAG Corporate Office in one of the following manners:

By Mail:
OAG – Compliance Department
707 SW Washington St., Suite 700
Portland, OR 97205

By Fax: (503) 295-2232
Attention: Compliance Department

Questions?
Questions about requesting OAG billing records may be directed to the OAG Corporate Office at (503) 299-9906.

PLEASE NOTE: When requesting both your medical and billing records, you will receive them separately.

Community

Our physicians and staff are deeply invested in the communities where they live and work. Whether through volunteer work at local health clinics or leadership in other organizations, OAG doctors know the communities they serve.

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Your Bill Explained

We recognize that you may have questions about your bill following your procedure. Let our billing partner, Medac, help you understand the billing process.

Toll-Free (855) 514 4375 LEARN MORE

BEFORE SENDING AN EMAIL, PLEASE NOTE:

Do not include personal health information in this email. Information sent via email should not be considered secure.