MedicaidReimbursementLow impact
Fee-for-service reprocessing of outpatient claims planned for December 11, 2021
Oregon Health Plan·OR·Provider
Effective date
Dec 11, 2021
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will automatically reprocess all outpatient claims paid from January 1, 2021 through July 25, 2021 on December 11, 2021 to apply updated APC pricing. Providers will see adjustment codes on remittance advices but no action is required.
Action Required
No action required. Be aware that remittance advices will show EOB code 8008 and Adjustment Reason Code 16 for reprocessed claims from January-July 2021. These are system-generated adjustments for pricing updates, not billing errors.