Current through Register Vol. 60, No. 12, December 1, 2021
overpayment and under-payments are resolved through the adjustment process.
Only paid claims can be adjusted. If no payment was made, the claim must be
submitted using a CMS 1450 (UB-04) for processing. All overpayments must be
reported. Overpayments will be taken from future payments.
(2) Much of the information required on the
Adjustment Request Form is printed on the paper Remittance Advice or the
electronic 835. Documentation may be submitted to support the request. Attach a
copy of the claim and paper Remittance Advice or the electronic 835 to the
Adjustment Request (DMAP 1036). Adjustment requests must be submitted in
writing to the Division.
Complete adjustment instructions can be found in Hospital Services Supplemental
Or. Admin. R.
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 461-015-0510; HR 31-1990(Temp), f.
& cert. ef. 9-11-90; HR 2-1991, f. & cert. ef 1-4-91; 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. 7-1-06; DMAP 19-2008, f. 6-13-08, cert. ef.
7-1-08; DMAP 34-2008, f. 11-26-08, cert. ef.
Publications: Publications referenced are available from the
Stat Auth.: ORS
Stats. Implemented: ORS