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Oregon Administrative Rules
Chapter 407
Division 120
Or. Admin. R. ch. 407, div. 120
Provider Rules
Department of Human Services
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0100
Definitions
0110
Purpose
0112
Scope and Sequence of Electronic Data Transmission Rules
0114
Provider Enrollment Agreement
0116
Web Portal Submitter
0118
Conduct of Direct Data Entry Using Web Portal
0120
Registration Process — EDI Transactions
0130
Trading Partner as EDI Submitter – EDI Transactions
0140
Trading Partner Agents as EDI Submitters — EDI Transactions
0150
Testing — EDI Transactions
0160
Conduct of Transactions — EDI Transactions
0165
Pharmacy Point of Sale Access
0170
Confidentiality and Security
0180
Record Retention and Audit
0190
Material Changes
0200
Department System Administration
0300
Definitions
0310
Provider Requirements
0320
Provider Enrollment
0325
Compliance with Federal and State Statutes
0330
Billing Procedures
0340
Claim and PHP Encounter Submission
0350
Payments and Overpayments
0360
Consequences of Non-Compliance and Provider Sanctions
0370
Requirements for Financial, Clinical, and Other Records
0380
Fraud and Abuse
0400
MMIS Replacement Communication Plan
1505
Provider and Contractor Audits, Appeals, and Post Payment Recoveries