| Rule Number |
Form Name |
Form Number |
| OAR 836-052-0636 |
LTC Claims Denial Reporting Form |
2500
Word
| PDF
|
| Long-Term Care Insurance Replacement and Lapse Reporting Form |
2735
Word
| PDF
|
| OAR 836-052-0776 |
LTC Outline of Coverage |
2571
Word
| PDF
|
| OAR 836-053-0510 |
Oregon Standard Health Statement |
3087
Word
| PDF
Español |
| OAR 836-100-0100, 0105, 0110, 0115, 0120 |
Oregon Companion Guide for Health Care Eligibility Benefit Inquiry and Response |
|
| OAR 836-100-0105, 0110, 0115 |
Oregon Companion Guide - Health Care Claim: Professional (837) |
|
| OAR 836-100-0105, 0110, 0115 |
Oregon Companion Guide - Health Care Claim: Institutional (837) |
|
| OAR 836-100-0105, 0110, 0115 |
Oregon Companion Guide - Health Care Claim: Dental (837) |
|
