Or. Admin. Code § 410-125-2080
Current through Register Vol. 64, No. 1, January 1, 2025
Section 410-125-2080 - Administrative Errors(1) If a hospital has been given incorrect information by Division of Medical Assistance Programs, Children, Adults, and Families Programs, or Aging and People with Disabilities/staff, and services were provided on the basis of this information, and payment has been denied as a result, the hospital may submit a request for payment as an Administrative Error.(2) Include the following: (a) An explanation of the problem;(b) Any documents supporting the request for payment;(c) A copy of any paper Remittance Advice or electronic 835 printouts received on this claim;(d) A copy of the original claim.(3) Send the request: Division of Medical Assistance Programs, Provider Inquiry, Administrative Errors, 500 Summer Street NE, E-44, Salem, OR 97301-1077.Or. Admin. Code § 410-125-2080
AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89; AFS 72-1989, f. & cert. ef. 12-1-89; HR 21-1990, f. & cert. ef. 7-9-90, Renumbered from 461-015-0730; HR 42-1991, f. & cert. ef. 10-1-91; OMAP 70-2004, f. 9-15-04, cert. ef. 10-1-04; OMAP 17-2006, f. 6-12-06, cert. ef. 7-1-06Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 414.065