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Rules,
Bulletins, and Forms
For health care providers |
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| Rules |
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OAR Chapter 436, Division 009 - Medical fees and relative value schedule
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OAR Chapter 436, Division 010 - Medical Services
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OAR Chapter 436, Division 015 - Managed Care Organizations
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| Bulletins
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Bulletin 112 -
Reimbursement of injured workers' travel, food, and lodging costs
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associated form(s):
3921
3921s
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Bulletin 239 -
Claim closing and other impairment-focused examinations and forms for reporting impairments - Effective 6/1/10
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associated form(s):
2278L
2278T
2278c
4842
4841
2279
2312
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Bulletin 247 -
MCO quarterly reports -- Revised 9/09
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Bulletin 248 -
MCO geographical service areas -- Revised 1/07
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Bulletin 251 -
Change of attending physician or authorized nurse practitioner request -- Revised 1/08
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associated form(s):
2332
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Bulletin 281 -
Form 440-2476, "Request for release of medical records for Oregon Workers' compensation claim" -- Revised 9/05
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associated form(s):
2476s
2476
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Bulletin 292 -
Workers' compensation medical reporting forms -- Revised 12/15/11
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associated form(s):
3245
827
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Bulletin 293 -
Form and format for request for administrative review of medical disputes -- Revised 3/07
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associated form(s):
2842
2842a
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Bulletin 307 -
Spanish translation, Form 440-827S
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associated form(s):
827s
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Bulletin 308 -
Invasive medical procedures during an independent medical examination (IME) -- Effective 1/1/06
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associated form(s):
3227
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Bulletin 352 -
Fee Discount Agreement form and reporting - Effective Jan. 1, 2009
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associated form(s):
3659
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Bulletin 361 -
Clinical justification for certain drugs -- Effective 4/1/11
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associated form(s):
4909
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| Forms
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Analysis of upper extremity use for office activities (3289)
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Chiropractic Physician's Statement of Certification (3648)
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Elective Surgery Notification (3228)
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For instruction see
309
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Fee Discount Agreement (3659)
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For instruction see
352
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Invasive Medical Procedure Authorization (Autorización para Procedimiento Médico Invasivo) (3227)
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For instruction see
308
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Lower Extremity Range of Motion (4841)
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For instruction see
239
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Medical forms order form (3210)
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Naturopathic Physician's Statement of Certification (3651)
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Notice of Intent to Form a Managed Care Organization. (2737)
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Nurse Practitioner's Statement of Authorization (2882)
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Pharmaceutical Clinical Justification for Workers' Compensation (4909)
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For instruction see
361
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Physician Assistant's Statement of Certification (3650)
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Podiatric Physician's Statement of Certification (3649)
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Release to Return to Work (3245)
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For instruction see
292
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Reporte del Trabajador y del Proveedor Médico para Reclamaciones de Compensación para Trabajadores (827s) (827s)
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For instruction see
292
307
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Request for Release of Medical Records for Oregon Workers' Compensation Claim (2476)
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For instruction see
281
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Shoulder Range of Motion (4842)
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For instruction see
239
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Solicitud para Divulgar Expedientes Médicos para Reclamación de Compensación para Trabajadores de Oregon (Request for Release of Medical Records for Oregon Workers' Compensation Claim) (2476s) (2476s)
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Spinal (Cervical) Range of Motion (2278c)
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For instruction see
239
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Spinal (Lumbar) Range of Motion (2278L)
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For instruction see
239
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Spinal (Thoracic) Range of Motion (2278T)
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For instruction see
239
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Upper Extremity Range of Motion Deformity/Deviation Amputation and Sensation (2279)
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For instruction see
239
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Visual Impairment (2312)
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For instruction see
239
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Worker's and Health Care Provider's Report for Workers' Compensation Claim (827)
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For instruction see
292
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