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This version of the form is not currently in use and is provided for reference only. Download this version of
Form OHP3085
for the current year.
Form OHP3085 Request for Claim or Payment Authorization Review - Oregon
What Is Form OHP3085?
This is a legal form that was released by the Oregon Health Authority - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is OHP3085?
A: OHP3085 is a form used to request a claim or payment authorization review in Oregon.
Q: What is the purpose of OHP3085?
A: The purpose of OHP3085 is to request a review of a claim or payment authorization in Oregon.
Q: Who can use OHP3085?
A: OHP3085 can be used by healthcare providers or their authorized representatives.
Q: What information do I need to provide on OHP3085?
A: You will need to provide information such as the claim or payment authorization number, the reason for the review, and any supporting documentation.
Q: Is there a deadline for submitting OHP3085?
A: Yes, there is a deadline for submitting OHP3085. It is important to check the form for specific instructions and deadlines.
Q: What happens after I submit OHP3085?
A: After you submit OHP3085, the Oregon Health Authority will review your request and provide a decision or additional instructions.
Q: Can I appeal the decision made based on OHP3085?
A: Yes, if you disagree with the decision made based on OHP3085, you have the right to appeal.
Form Details:
- Released on January 1, 2016;
- The latest edition provided by the Oregon Health Authority;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form OHP3085 by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.
