OAR 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.