MedicaidAdministrativeLow impact
Fee-for-service reprocessing of inpatient claims planned for June 14, 2021
Oregon Health Plan·OR·Provider
Effective date
Jun 14, 2021
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will reprocess all inpatient DRG hospital claims paid between October 1, 2020, and May 5, 2021 on June 14, 2021 to comply with updated MS-DRG grouper software. 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 Detail EOB code 8008 and Adjustment Reason Code 16 for reprocessed claims from October 1, 2020 through May 5, 2021. Contact Provider Services Unit at dmap.providerservices@dhsoha.state.or.us or 800-336-6016 if questions arise.