Or. Admin. Code § 333-004-4070

Current through Register Vol. 63, No. 10, October 1, 2024

Section 333-004-4070 - Timely Submission of Claims

(1) Claims are processed once a month. To be included in a given month's processing, an authorized agency or authorized provider must submit a claim to the RH Program using the Abortion Access Plan claims form by electronic mail before the monthly processing deadline.

(2) The RH Program shall pay claims within 12 months of the date of service. Claims submitted more than 12 months after the date of service shall be rejected.

(3) Errors causing rejection of any claim must be resolved by the authorized agency or authorized provider within 12 months of the date of service. Claims older than 12 months submitted by the agency or provider to the RH Program shall not be paid, except when the RH Program has made an error that caused the agency or provider not to be able to bill within 12 months of the date of service. The error must be confirmed by the RH Program before the claim shall be paid.

(4) Authorized agencies or authorized providers may void claims at any time after the date of service.

Or. Admin. Code § 333-004-4070

PH 47-2023, adopt filed 09/28/2023, effective 10/1/2023

Statutory/Other Authority: ORS 413.042 & OL 2022, Ch. 435 (HB 4034, Section 10)

Statutes/Other Implemented: ORS 413.032 & OL 2022, Ch. 435 (HB 4034, Section 10)