Oregon Administrative Rules
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 150 - ADMINISTRATIVE EXAMINATION AND BILLING SERVICES
Section 410-150-0070 - Billing Instructions for Administrative Examinations
Current through Register Vol. 63, No. 9, September 1, 2024
(1) When an examination is needed, administrative examination codes are authorized by the branch office.
(2) Medical and ancillary services providers must bill using the Provider Web Portal at https://www.or-medicaid.gov or on a CMS-1500, mailed to the address listed on the OHP 729 at https://www.oregon.gov/oha/HSD/OHP/Pages/Policy- Admin-Exam.aspx.
(3) Hospital services must be billed on a UB-04.
(4) Record copying fees imposed by a copy service provider must be billed on a CMS - 1500.
(5) For Administrative Examination billing, the following are required on the appropriate billing form:
Statutory/Other Authority: ORS 413.042
Statutes/Other Implemented: ORS 414.065
