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