Submission of Bills
(1)Requests for payment of crime related services shall be submitted in the form of an itemized billing statement detailing the services provided, provider name, the date of service and, if necessary, any additional documentation the Department requests.
(2)All bills submitted to the Department for payment consideration must be submitted no later than one year from the date of service and within 60 days of claim expiration. Failure to submit bills to the Department within these time frames may result in denial of payment.
(3)No payment shall be authorized for services provided after the date of claim expiration as described in ORS 147.035 (Compensable losses)(9) and (10), except if a specific medical or dental procedure was commenced by the provider or approved by the Department prior to the date of claim expiration, but completion of the procedure will extend beyond claim expiration. The cost of the procedure and the duration of the treatment must be submitted to and approved by the Department prior to the date of claim expiration. No payment will be authorized for additional expense beyond the approved amount unless such additional expenses occur prior to the date of claim expiration and are approved by the Department.
Rule 137-076-0043 — Submission of Bills,