Current through Register Vol. 60, No. 12, December 1, 2021
(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.
Include the following:
(a) An explanation of the problem;
(b) Any documents supporting the request for
(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. 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 461-015-0730; 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. 7-1-06
Stat. Auth.: ORS
Stats. Implemented: ORS