OAR 410-125-2080: Administrative Errors

(1) If a hospital has been given incorrect information by the Division of Medical Assistance Programs, or 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.