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MedicaidAdministrativeMedium impact

Other Coverage Code (OCC) 1 override ends July 1, 2020

Oregon Health Plan·OR·Provider
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Plan is ending the Other Coverage Code (OCC) 1 override effective July 1, 2020. This means providers can no longer use this override for billing when patients have other insurance coverage.

Action Required

Action needed
By July 1, 2020: Oregon providers must stop using Other Coverage Code 1 override in billing system. Update billing procedures to verify and properly coordinate benefits when Oregon Health Plan members have other insurance coverage. Claims using this override after the deadline will be denied.