Or. Admin. Code § 410-132-0120

Current through Register Vol. 63, No. 12, December 1, 2024

Section 410-132-0120 - Billing Information

(1) If the client has not enrolled in a CCO or PHP, bill with the appropriate Division unique procedure codes and follow the instructions on how to complete the CMS-1500.

(2) Client copayments may be required for certain services. See OAR 410-120-1230 for specific details.

(3) Claims shall be submitted on a CMS-1500, electronically or on paper. Paper claims shall be sent to the Division.

(4) Contact the Division's Electronic Billing Representative for information about electronic billing.

(5) Bill on a CMS-1500 and enter the appropriate TPR Explanation Code in Field 9 when billing for clients with Medicare.

Or. Admin. Code § 410-132-0120

HR 9-1991, f. 1-28-91, cert. ef. 3-1-91; HR 6-1997, f. & cert. ef. 2-19-97; OMAP 54-2002, f. & cert. ef. 10-1-02; DMAP 45-2015, f. & cert. ef. 8/25/2015

Stat. Auth.: ORS 413.042

Stats. Implemented: ORS 414.065