{"id":12653,"date":"2025-01-22T20:03:11","date_gmt":"2025-01-22T20:03:11","guid":{"rendered":"https:\/\/www.umpquahealth.com\/reclamaciones\/"},"modified":"2025-08-15T00:11:26","modified_gmt":"2025-08-15T00:11:26","slug":"reclamaciones","status":"publish","type":"page","link":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/","title":{"rendered":"Reclamaciones"},"content":{"rendered":"\n<div class=\"wp-block-stackable-columns alignfull stk-block-columns stk-block stk-460b17c stk-block-background stk--has-background-overlay\" data-block-id=\"460b17c\"><style>.stk-460b17c {background-color:var(--theme-palette-color-10, #D7E9D4) !important;background-image:url(https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/right-wave-lichen.png) !important;background-position:bottom right !important;background-repeat:no-repeat !important;background-size:470px !important;min-height:424px !important;padding-top:120px !important;padding-bottom:120px !important;margin-bottom:124px !important;}.stk-460b17c:before{background-color:var(--theme-palette-color-10, #D7E9D4) !important;opacity:0 !important;}.stk-460b17c-column{--stk-columns-spacing:0px !important;justify-content:flex-start !important;}@media screen and (max-width:999px){.stk-460b17c {padding-top:100px !important;padding-bottom:100px !important;}}@media screen and (max-width:689px){.stk-460b17c {background-size:60% !important;margin-bottom:60px !important;}}<\/style><div class=\"stk-row stk-inner-blocks has-text-align-left stk-block-content stk-content-align stk-460b17c-column stk--flex\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-d35fecf\" data-v=\"4\" data-block-id=\"d35fecf\"><style>.stk-d35fecf-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}.stk-d35fecf-inner-blocks{align-items:flex-start !important;}.stk-d35fecf {max-width:900px !important;min-width:auto !important;margin-right:auto !important;margin-left:0px !important;}@media screen and (min-width:690px){.stk-d35fecf {flex:var(--stk-flex-grow, 1) 1 calc(66.666% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-d35fecf-container stk--no-background stk--no-padding\"><div class=\"stk--column-flex stk-block-content stk-inner-blocks stk-d35fecf-inner-blocks\">\n<div class=\"wp-block-stackable-text stk-block-text stk-block stk-16c2735\" id=\"house-cleaning\" data-block-id=\"16c2735\"><style>.stk-16c2735 {margin-bottom:21px !important;}.stk-16c2735 .stk-block-text__text{font-size:15px !important;color:var(--theme-palette-color-5, #005B7B) !important;line-height:1em !important;font-weight:700 !important;text-transform:uppercase !important;font-family:\"Figtree\", Sans-serif !important;letter-spacing:0.75px !important;}@media screen and (max-width:999px){.stk-16c2735 {margin-bottom:10px !important;}.stk-16c2735 .stk-block-text__text{font-size:15px !important;}}<\/style><p class=\"stk-block-text__text has-text-color has-text-align-left\">Proveedores de Umpqua Health<\/p><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-8b0ceb4\" id=\"claims\" data-block-id=\"8b0ceb4\"><style>.stk-8b0ceb4 {margin-bottom:32px !important;}.stk-8b0ceb4 .stk-block-heading__text{font-size:64px !important;color:var(--theme-palette-color-5, #005B7B) !important;line-height:71px !important;}@media screen and (max-width:999px){.stk-8b0ceb4 .stk-block-heading__text{font-size:64px !important;}}@media screen and (max-width:689px){.stk-8b0ceb4 .stk-block-heading__text{font-size:44px !important;}}<\/style><h2 class=\"stk-block-heading__text has-text-color has-palette-color-8-color has-text-align-left\">Reclamaciones<\/h2><\/div>\n\n\n\n<p>Encuentre todo lo que necesita saber como proveedor de Umpqua Health sobre la presentaci\u00f3n de reclamaciones electr\u00f3nicas y en papel, las directrices de presentaci\u00f3n oportuna y las apelaciones.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-81b85b4\" data-v=\"4\" data-block-id=\"81b85b4\"><style>@media screen and (min-width:690px){.stk-81b85b4 {flex:var(--stk-flex-grow, 1) 1 calc(33.334% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-81b85b4-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-81b85b4-inner-blocks\"><\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-b4cd079\" data-block-id=\"b4cd079\"><style>.stk-b4cd079 {margin-bottom:84px !important;}@media screen and (max-width:689px){.stk-b4cd079 {margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-b4cd079-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-31004a8\" data-v=\"4\" data-block-id=\"31004a8\"><style>.stk-31004a8-container{margin-top:0px !important;margin-right:74px !important;margin-bottom:0px !important;margin-left:74px !important;}.stk-31004a8 {align-self:center !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-31004a8-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-31004a8-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-9f23265\" id=\"provider-enrollment-and-claims-submission-requirements\" data-block-id=\"9f23265\"><style>.stk-9f23265 {margin-bottom:15px !important;}<\/style><h2 class=\"stk-block-heading__text\">Requisitos para la inscripci\u00f3n de proveedores y la presentaci\u00f3n de reclamaciones<\/h2><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Inscripci\u00f3n:<\/strong> Para recibir el pago por los servicios prestados a un miembro de Umpqua Health, el proveedor o centro debe estar inscrito en el Estado de Oreg\u00f3n y tener un n\u00famero DMAP activo en la(s) fecha(s) del servicio.<\/li>\n\n\n\n<li><strong>Presentaci\u00f3n de reclamaciones:<\/strong> UHA acepta reclamaciones en papel y electr\u00f3nicas en formatos HIPAA 837P, 837I, CMS-1500, o UB-04. Los reclamos son t\u00edpicamente procesados dentro de 60 d\u00edas de recibo de un reclamo limpio. Las reclamaciones no limpias suelen dar lugar a un plazo de adjudicaci\u00f3n m\u00e1s largo.  <\/li>\n\n\n\n<li><strong>Denegaciones:<\/strong> Si ha recibido una carta de rechazo de reclamaci\u00f3n de Ayin Health Solutions, p\u00f3ngase en contacto con ellos directamente en el <a href=\"tel:5035842169\">(503) 584-2169<\/a>, opci\u00f3n n\u00ba 5. Umpqua Health no tiene acceso a esas reclamaciones y Ayin Health Solutions le aconsejar\u00e1 sobre posibles soluciones. Umpqua Health no tiene acceso a esas reclamaciones y Ayin Health Solutions le aconsejar\u00e1 sobre posibles soluciones. <\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-d24dcd0\" data-block-id=\"d24dcd0\"><style>.stk-d24dcd0 {margin-bottom:84px !important;}@media screen and (max-width:689px){.stk-d24dcd0 {margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-d24dcd0-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-7175049\" data-v=\"4\" data-block-id=\"7175049\"><style>.stk-7175049-container{margin-top:0px !important;margin-right:74px !important;margin-bottom:0px !important;margin-left:74px !important;}.stk-7175049 {align-self:center !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-7175049-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-7175049-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-2b8c443\" id=\"out-of-area-providers\" data-block-id=\"2b8c443\"><style>.stk-2b8c443 {margin-bottom:15px !important;}<\/style><h2 class=\"stk-block-heading__text\">Proveedores de fuera del \u00e1rea<\/h2><\/div>\n\n\n\n<p>Si usted es un proveedor fuera del \u00e1rea que busca inscribirse en DMAP, por favor revise nuestra <a href=\"https:\/\/www.umpquahealth.com\/form\/submitting-provider-enrollment-requests\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gu\u00eda para Presentar Solicitudes de Inscripci\u00f3n de Proveedores<\/a>. Aseg\u00farese de cumplir con todos los requisitos de inscripci\u00f3n como se indica en <a data-type=\"link\" data-id=\"https:\/\/secure.sos.state.or.us\/oard\/ruleSearch.action\" href=\"https:\/\/secure.sos.state.or.us\/oard\/ruleSearch.action\">las Reglas Administrativas de Oregon<\/a> OAR 410-120-1260 y OAR 407-120-0320. <\/p>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-e55a905\" id=\"gspb_button-id-gsbp-e55a905\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button\" href=\"https:\/\/www.umpquahealth.com\/form\/submitting-provider-enrollment-requests\/\" target=\"_blank\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">GU\u00cdA DE INSCRIPCI\u00d3N<\/span><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-440fb52\" data-block-id=\"440fb52\"><style>.stk-440fb52 {margin-bottom:84px !important;}@media screen and (max-width:689px){.stk-440fb52 {margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-440fb52-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-8ff02e8\" data-v=\"4\" data-block-id=\"8ff02e8\"><style>.stk-8ff02e8-container{margin-top:0px !important;margin-right:74px !important;margin-bottom:0px !important;margin-left:74px !important;}.stk-8ff02e8 {align-self:center !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-8ff02e8-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-8ff02e8-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-58248c3\" id=\"electronic-claim-submission-edi\" data-block-id=\"58248c3\"><style>.stk-58248c3 {margin-bottom:15px !important;}<\/style><h2 class=\"stk-block-heading__text\">Presentaci\u00f3n electr\u00f3nica de reclamaciones (EDI)<\/h2><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>UHA acepta las reclamaciones electr\u00f3nicas 837P y 837I conformes con la HIPAA.<\/li>\n\n\n\n<li>El intercambio electr\u00f3nico de datos (EDI) ofrece una alternativa m\u00e1s r\u00e1pida y rentable a la presentaci\u00f3n de reclamaciones en papel.<\/li>\n\n\n\n<li>El sistema de presentaci\u00f3n en l\u00ednea realiza una revisi\u00f3n preliminar de cada solicitud para identificar y marcar los errores de facturaci\u00f3n m\u00e1s comunes antes de su aceptaci\u00f3n.<\/li>\n\n\n\n<li>Tenga en cuenta que la mayor\u00eda de los requisitos para las reclamaciones en papel tambi\u00e9n se aplican a los env\u00edos EDI.<\/li>\n<\/ul>\n\n\n\n<p>Para obtener directrices completas sobre las transacciones 837P y 837I, consulte el <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/electronic-billing\/electronic-healthcare-claims\">sitio web de CMS<\/a>.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-c56f0ff\" data-block-id=\"c56f0ff\"><style>.stk-c56f0ff {margin-bottom:84px !important;}@media screen and (max-width:689px){.stk-c56f0ff {margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-c56f0ff-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-9fb358c\" data-v=\"4\" data-block-id=\"9fb358c\"><style>.stk-9fb358c-container{margin-top:0px !important;margin-right:74px !important;margin-bottom:0px !important;margin-left:74px !important;}.stk-9fb358c {align-self:center !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-9fb358c-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-9fb358c-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-78a57fd\" id=\"payor-i-ds\" data-block-id=\"78a57fd\"><style>.stk-78a57fd {margin-bottom:15px !important;}<\/style><h2 class=\"stk-block-heading__text\">Identificaci\u00f3n del pagador<\/h2><\/div>\n\n\n\n<p>Seleccione los n\u00fameros de identificaci\u00f3n de pagador correctos en funci\u00f3n de la c\u00e1mara de compensaci\u00f3n de su organizaci\u00f3n.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Centro de Intercambio de Informaci\u00f3n<\/strong><\/td><td><strong>IDENTIFICACI\u00d3N DEL PAGADOR<\/strong><\/td><\/tr><tr><td>Allscripts\/PayerPath (mediante reenv\u00edo)<\/td><td>77502<\/td><\/tr><tr><td>Disponibilidad<\/td><td>77503<\/td><\/tr><tr><td>Cortex EDI<\/td><td>CIM11<\/td><\/tr><tr><td>ClaimMD<\/td><td>77501<\/td><\/tr><tr><td>GE Healthcare\/Athena<\/td><td>77500<\/td><\/tr><tr><td>Pasarela\/Trizetto<\/td><td>77504<\/td><\/tr><tr><td>Aliado de oficina<\/td><td>77501<\/td><\/tr><tr><td>Relay Health PCS (Profesional)<\/td><td>77505-CPID 1291<\/td><\/tr><tr><td>Relay Health PCS (Institucional)<\/td><td>77505-CPID 6551<\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-c917e1d\" data-block-id=\"c917e1d\"><style>.stk-c917e1d {margin-bottom:84px !important;}@media screen and (max-width:689px){.stk-c917e1d {margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-c917e1d-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-7ea2ad6\" data-v=\"4\" data-block-id=\"7ea2ad6\"><style>.stk-7ea2ad6-container{margin-top:0px !important;margin-right:74px !important;margin-bottom:0px !important;margin-left:74px !important;}.stk-7ea2ad6 {align-self:center !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-7ea2ad6-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-7ea2ad6-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-1991ceb\" id=\"paper-claim-submission\" data-block-id=\"1991ceb\"><style>.stk-1991ceb {margin-bottom:15px !important;}<\/style><h2 class=\"stk-block-heading__text\">Presentaci\u00f3n de solicitudes en papel<\/h2><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>La OHA se atiene a las directrices de Medicare y de la OHA para la tramitaci\u00f3n de las reclamaciones en papel.<\/li>\n\n\n\n<li>Presentar las reclamaciones en los formularios CMS-1500 o UB-04 actuales.<\/li>\n\n\n\n<li>Para m\u00e1s informaci\u00f3n, consulte el Manual del proveedor de UHA.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group is-horizontal is-content-justification-left is-layout-flex wp-container-core-group-is-layout-a86bb09c wp-block-group-is-layout-flex\">\n<p><strong>Direcci\u00f3n para la presentaci\u00f3n de reclamaciones en papel:<\/strong><br\/>Ayin Health Solutions<br\/>Attn: UHA Claims<br\/>PO Box 5308<br\/>Salem, OR 97304<\/p>\n\n\n\n<p><strong>Direcci\u00f3n para reclamaciones:<\/strong><br\/>Ayin Health Solutions<br\/>Attn: UHA Appeals<br\/>PO Box 5308<br\/>Salem, OR 97304<\/p>\n<\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-41e9f26\" data-block-id=\"41e9f26\"><style>.stk-41e9f26 {margin-bottom:84px !important;}@media screen and (max-width:689px){.stk-41e9f26 {margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-41e9f26-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-5ad9ef3\" data-v=\"4\" data-block-id=\"5ad9ef3\"><style>.stk-5ad9ef3-container{margin-top:0px !important;margin-right:74px !important;margin-bottom:0px !important;margin-left:74px !important;}.stk-5ad9ef3 {align-self:center !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-5ad9ef3-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-5ad9ef3-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-7c46e14\" id=\"elements-of-a-clean-claim\" data-block-id=\"7c46e14\"><style>.stk-7c46e14 {margin-bottom:15px !important;}<\/style><h2 class=\"stk-block-heading__text\">Elementos de una Clean Claim<\/h2><\/div>\n\n\n\n<p>Una solicitud limpia no tiene ning\u00fan defecto, incorrecci\u00f3n o circunstancia especial, incluida la documentaci\u00f3n incompleta que retrase el pago a tiempo. Un proveedor presenta una reclamaci\u00f3n limpia proporcionando los elementos de datos requeridos en los formularios de reclamaci\u00f3n est\u00e1ndar, junto con los anexos y elementos adicionales, o revisiones de los elementos de datos, anexos y elementos adicionales, de los que el proveedor tiene conocimiento. <\/p>\n\n\n\n<p>UHA aplicar\u00e1 la Iniciativa Nacional de Codificaci\u00f3n Correcta a las reclamaciones procesadas seg\u00fan lo requerido en la Secci\u00f3n 6507 de la Ley de Protecci\u00f3n al Paciente y Cuidado de Salud Asequible.<\/p>\n\n\n\n<p>Algunos de los elementos de datos requeridos para las reclamaciones de profesionales y centros.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>N\u00famero de identificaci\u00f3n<\/li>\n\n\n\n<li>Nombre del miembro<\/li>\n\n\n\n<li>Fecha de nacimiento y sexo de los diputados<\/li>\n\n\n\n<li>Autorizaci\u00f3n previa<\/li>\n\n\n\n<li>C\u00f3digo(s) de diagn\u00f3stico<\/li>\n\n\n\n<li>Fecha de servicio<\/li>\n\n\n\n<li>Lugar de servicio<\/li>\n\n\n\n<li>Tipo de factura<\/li>\n\n\n\n<li>Procedimiento\/c\u00f3digo modificador<\/li>\n\n\n\n<li>Puntero Dx<\/li>\n\n\n\n<li>Cargo por cada servicio enumerado<\/li>\n\n\n\n<li>N\u00famero de unidades<\/li>\n\n\n\n<li>NPI del proveedor de rendering<\/li>\n\n\n\n<li>N\u00famero de identificaci\u00f3n fiscal<\/li>\n\n\n\n<li>Gastos totales<\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-bbfa5da\" data-block-id=\"bbfa5da\"><style>.stk-bbfa5da {margin-bottom:84px !important;}@media screen and (max-width:689px){.stk-bbfa5da {margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-bbfa5da-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-f93586c\" data-v=\"4\" data-block-id=\"f93586c\"><style>.stk-f93586c-container{margin-top:0px !important;margin-right:74px !important;margin-bottom:0px !important;margin-left:74px !important;}.stk-f93586c {align-self:center !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-f93586c-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-f93586c-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-bba25e0\" id=\"timely-filing-guidelines\" data-block-id=\"bba25e0\"><style>.stk-bba25e0 {margin-bottom:15px !important;}<\/style><h2 class=\"stk-block-heading__text\">Directrices para la presentaci\u00f3n en plazo<\/h2><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reclamaciones originales<\/strong>: Deben presentarse en un plazo de <strong>120 d\u00edas<\/strong> a partir de la fecha del servicio<em>(o fecha de alta en caso de hospitalizaci\u00f3n<\/em>).<\/li>\n\n\n\n<li><strong>Correcciones, apelaciones y facturaci\u00f3n secundaria\/terciaria<\/strong>: Deben presentarse en un plazo de <strong>365 d\u00edas<\/strong> a partir de la fecha del servicio y deben incluir la EOB\/documentaci\u00f3n primaria.\n<ul class=\"wp-block-list\">\n<li>Los siguientes elementos de datos se utilizan para identificar reclamaciones duplicadas\/corregidas.\n<ul class=\"wp-block-list\">\n<li>Lugar de servicio<\/li>\n\n\n\n<li>Unidades facturadas<\/li>\n\n\n\n<li>Cargos<\/li>\n\n\n\n<li>C\u00f3digo Rev<\/li>\n\n\n\n<li>Plan de prestaciones (CCOA, CCOB, CCOG, CCOE, CCOF)<\/li>\n\n\n\n<li>C\u00f3digo de diagn\u00f3stico<\/li>\n\n\n\n<li>Tipo de factura<\/li>\n\n\n\n<li>Modificadores NDC<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Cuando se identifique uno de estos elementos en nuestro sistema de reclamaciones, la reclamaci\u00f3n quedar\u00e1 pendiente para su tramitaci\u00f3n manual. Las reclamaciones corregidas deben indicarse como tal en el formulario de reclamaci\u00f3n, junto con el n\u00famero de la reclamaci\u00f3n original. Las correcciones parciales de una solicitud se rechazar\u00e1n como duplicados. La solicitud completa debe volver a facturarse con la solicitud corregida.   <\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Se recomienda a los proveedores que env\u00eden los datos en un plazo de 30 d\u00edas<\/strong> a partir de la fecha de prestaci\u00f3n del servicio para facilitar la recopilaci\u00f3n de datos y proporcionar una gesti\u00f3n eficaz de la utilizaci\u00f3n.<\/li>\n<\/ul>\n\n\n\n<p>Si tiene problemas con el sistema u otros retrasos que afecten a la puntualidad de la facturaci\u00f3n, <strong>debe notificarlo inmediatamente a UHA<\/strong> utilizando la informaci\u00f3n de <strong>contacto<\/strong> que figura a continuaci\u00f3n.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-285e026\" data-block-id=\"285e026\"><style>.stk-285e026 {margin-bottom:84px !important;}@media screen and (max-width:689px){.stk-285e026 {margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-285e026-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-6bda178\" data-v=\"4\" data-block-id=\"6bda178\"><style>.stk-6bda178-container{margin-top:0px !important;margin-right:74px !important;margin-bottom:0px !important;margin-left:74px !important;}.stk-6bda178 {align-self:center !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-6bda178-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-6bda178-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-203f1ae\" id=\"timely-filing-appeals\" data-block-id=\"203f1ae\"><style>.stk-203f1ae {margin-bottom:15px !important;}<\/style><h2 class=\"stk-block-heading__text\">Presentaci\u00f3n oportuna de recursos<\/h2><\/div>\n\n\n\n<p>Los recursos deben adjuntarse a la reclamaci\u00f3n. Las pruebas aceptables de la presentaci\u00f3n a tiempo incluyen: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>RA\/EOB, o<\/li>\n\n\n\n<li>Una captura de pantalla o un historial de transacciones generado por el sistema que muestre la <strong>fecha de presentaci\u00f3n de la solicitud<\/strong> (dentro de los plazos), junto con al menos <strong>tres<\/strong> de los siguientes datos:\n<ul class=\"wp-block-list\">\n<li>ID de miembro<\/li>\n\n\n\n<li>Nombre del miembro<\/li>\n\n\n\n<li>C\u00f3digo del procedimiento<\/li>\n\n\n\n<li>Gastos facturados<\/li>\n\n\n\n<li>Fecha de servicio<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>Nota<\/strong>: Los retrasos debidos a la inscripci\u00f3n en el DMAP <strong>no<\/strong> se consideran razones v\u00e1lidas para la presentaci\u00f3n extempor\u00e1nea de reclamaciones. Una vez completada la inscripci\u00f3n, las reclamaciones se vuelven a procesar autom\u00e1ticamente; sin embargo, la <strong>presentaci\u00f3n original debe estar dentro de las directrices de presentaci\u00f3n puntual<\/strong>. <\/p>\n\n\n\n<p><strong>Consulte el <a href=\"https:\/\/www.umpquahealth.com\/es\/manual-del-proveedor\/\" data-type=\"page\" data-id=\"3029\">Manual del proveedor de<\/a> Umpqua, Secci\u00f3n 6: Presentaci\u00f3n de reclamaciones para obtener informaci\u00f3n m\u00e1s detallada.<\/strong><\/p>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-3a2087a\" data-block-id=\"3a2087a\"><style>.stk-3a2087a {margin-bottom:84px !important;}@media screen and (max-width:689px){.stk-3a2087a {margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-3a2087a-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-f6e5672\" data-v=\"4\" data-block-id=\"f6e5672\"><style>.stk-f6e5672-container{margin-top:0px !important;margin-right:74px !important;margin-bottom:0px !important;margin-left:74px !important;}.stk-f6e5672 {align-self:center !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-f6e5672-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-f6e5672-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-773d42e\" id=\"claim-reconsiderations-amp-provider-appeals\" data-block-id=\"773d42e\"><style>.stk-773d42e {margin-bottom:15px !important;}<\/style><h2 class=\"stk-block-heading__text\">Reconsideraciones y recursos de proveedores<\/h2><\/div>\n\n\n\n<p>Si usted ha recibido una negaci\u00f3n\/pago de reclamo con que usted no est\u00e1 de acuerdo, usted puede ponerse en contacto con el equipo de apoyo de reclamo de UHA. Esto se considera una Reconsideraci\u00f3n (Apelaci\u00f3n de Nivel I) una vez que el equipo de apoyo de reclamaciones toma una segunda mirada a la negaci\u00f3n\/pago. Si el equipo de apoyo de reclamaciones de UHA no encuentra ning\u00fan problema con el procesamiento de la reclamaci\u00f3n, usted tambi\u00e9n puede presentar una Apelaci\u00f3n de Reclamaciones por escrito (Apelaci\u00f3n de Nivel II). Debe incluir la Solicitud de Reconsideraci\u00f3n del Proveedor y el Formulario de Disputa de Reclamaci\u00f3n que se encuentran a continuaci\u00f3n, y toda la documentaci\u00f3n que considere necesaria para que UHA reconsidere la denegaci\u00f3n de la reclamaci\u00f3n. Puede enviar la apelaci\u00f3n por correo o presentarla a trav\u00e9s de CIM directamente en la reclamaci\u00f3n.    <\/p>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-56cbfdc\" id=\"gspb_button-id-gsbp-56cbfdc\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button\" href=\"https:\/\/www.umpquahealth.com\/form\/how-to-upload-additional-documentation\/\" target=\"_blank\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">C\u00f3mo cargar documentaci\u00f3n adicional<\/span><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-greenshift-blocks-container gspb_container gspb_container-gsbp-f0a2282\" id=\"gspb_container-id-gsbp-f0a2282\">\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-bottom:100px\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-a5b7e13\" id=\"other-notices\" data-block-id=\"a5b7e13\"><h2 class=\"stk-block-heading__text\">Otros avisos<\/h2><\/div>\n\n\n\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk-block stk-0b26485 stk-block-background is-style-default\" data-block-id=\"0b26485\"><style>.stk-0b26485 {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-style:solid !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;border-top-width:1px !important;border-right-width:1px !important;border-bottom-width:1px !important;border-left-width:1px !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-bottom:20px !important;}.stk-0b26485:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-0f43d81 stk-block-background stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"0f43d81\"><style>.stk-0f43d81-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;padding-top:42px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}.stk-0f43d81 {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}.stk-0f43d81:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}.stk-0f43d81-container:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-0f43d81-container stk-hover-parent\"><div class=\"stk-block-content stk-inner-blocks stk-0f43d81-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-8e4a293\" data-block-id=\"8e4a293\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-5336950\" id=\"telehealth-services\" data-block-id=\"5336950\"><h3 class=\"stk-block-heading__text\">Servicios de telesalud<\/h3><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-2e36b9d\" data-block-id=\"2e36b9d\"><style>.stk-2e36b9d .stk--svg-wrapper .stk--inner-svg svg:last-child{height:20px !important;width:20px !important;}<\/style><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-2e36b9d\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-e-36-b-9-d-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-e-36-b-9-d-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H10.625V16.875C10.625 17.0408 10.5592 17.1997 10.4419 17.3169C10.3247 17.4342 10.1658 17.5 10 17.5C9.83424 17.5 9.67527 17.4342 9.55806 17.3169C9.44085 17.1997 9.375 17.0408 9.375 16.875V10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H9.375V3.125C9.375 2.95924 9.44085 2.80027 9.55806 2.68306C9.67527 2.56585 9.83424 2.5 10 2.5C10.1658 2.5 10.3247 2.56585 10.4419 2.68306C10.5592 2.80027 10.625 2.95924 10.625 3.125V9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-2e36b9d\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-e-36-b-9-d-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-e-36-b-9-d-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-8ad3e25 stk-block-accordion__content\" data-v=\"4\" data-block-id=\"8ad3e25\"><style>.stk-8ad3e25-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;padding-top:0px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-8ad3e25-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-8ad3e25-inner-blocks\">\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-b1c8daa\" id=\"gspb_button-id-gsbp-b1c8daa\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button\" href=\"https:\/\/www.umpquahealth.com\/form\/appendix-a-telehealth-code-descriptions\/\" target=\"_blank\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Ap\u00e9ndice A &#8211; Descripciones de los c\u00f3digos de telesalud<\/span><\/span><span class=\"gspb-buttonbox-icon\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" style=\"width:5rem;height:5rem;margin:10px\" width=\"20\" height=\"20\" viewbox=\"0 0 20 20\" fill=\"none\"><path d=\"M18.8169 10.4422L13.1919 16.0672C13.0747 16.1845 12.9156 16.2504 12.7498 16.2504C12.5839 16.2504 12.4248 16.1845 12.3076 16.0672C12.1903 15.9499 12.1244 15.7909 12.1244 15.625C12.1244 15.4592 12.1903 15.3001 12.3076 15.1828L16.8662 10.625H1.62476C1.459 10.625 1.30002 10.5592 1.18281 10.442C1.0656 10.3247 0.999756 10.1658 0.999756 10C0.999756 9.83425 1.0656 9.67528 1.18281 9.55807C1.30002 9.44086 1.459 9.37501 1.62476 9.37501H16.8662L12.3076 4.8172C12.1903 4.69992 12.1244 4.54086 12.1244 4.37501C12.1244 4.20916 12.1903 4.0501 12.3076 3.93282C12.4248 3.81555 12.5839 3.74966 12.7498 3.74966C12.9156 3.74966 13.0747 3.81555 13.1919 3.93282L18.8169 9.55782C18.8751 9.61587 18.9212 9.6848 18.9526 9.76067C18.9841 9.83655 19.0002 9.91788 19.0002 10C19.0002 10.0821 18.9841 10.1635 18.9526 10.2393C18.9212 10.3152 18.8751 10.3842 18.8169 10.4422Z\" fill=\"#063A4C\"><\/path><\/svg><\/span><\/span><\/a><\/div>\n<\/div>\n<\/div><\/div><\/div>\n<\/details>\n\n\n\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk-block stk-0f3d260 stk-block-background is-style-default\" data-block-id=\"0f3d260\"><style>.stk-0f3d260 {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-style:solid !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;border-top-width:1px !important;border-right-width:1px !important;border-bottom-width:1px !important;border-left-width:1px !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-bottom:20px !important;}.stk-0f3d260:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-f8e50b6 stk-block-background stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"f8e50b6\"><style>.stk-f8e50b6-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;padding-top:42px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}.stk-f8e50b6 {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}.stk-f8e50b6:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}.stk-f8e50b6-container:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-f8e50b6-container stk-hover-parent\"><div class=\"stk-block-content stk-inner-blocks stk-f8e50b6-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-02795ac\" data-block-id=\"02795ac\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-a6233e1\" id=\"national-drug-code-ndc-billing-guidelines\" data-block-id=\"a6233e1\"><h3 class=\"stk-block-heading__text\">Directrices de facturaci\u00f3n del C\u00f3digo Nacional de Medicamentos (NDC)<\/h3><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-1d64b61\" data-block-id=\"1d64b61\"><style>.stk-1d64b61 .stk--svg-wrapper .stk--inner-svg svg:last-child{height:20px !important;width:20px !important;}<\/style><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-1d64b61\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-1-d-64-b-61-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-1-d-64-b-61-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H10.625V16.875C10.625 17.0408 10.5592 17.1997 10.4419 17.3169C10.3247 17.4342 10.1658 17.5 10 17.5C9.83424 17.5 9.67527 17.4342 9.55806 17.3169C9.44085 17.1997 9.375 17.0408 9.375 16.875V10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H9.375V3.125C9.375 2.95924 9.44085 2.80027 9.55806 2.68306C9.67527 2.56585 9.83424 2.5 10 2.5C10.1658 2.5 10.3247 2.56585 10.4419 2.68306C10.5592 2.80027 10.625 2.95924 10.625 3.125V9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-1d64b61\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-1-d-64-b-61-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-1-d-64-b-61-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-7ba7ca3 stk-block-accordion__content\" data-v=\"4\" data-block-id=\"7ba7ca3\"><style>.stk-7ba7ca3-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;padding-top:0px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-7ba7ca3-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-7ba7ca3-inner-blocks\">\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-stackable-text stk-block-text stk-block stk-c517d12\" data-block-id=\"c517d12\"><style>.stk-c517d12 {padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}<\/style><p class=\"stk-block-text__text\">Para cumplir con la Norma Administrativa de Oreg\u00f3n 410-130-0180, Umpqua Health requiere que todos los proveedores informen los C\u00f3digos Nacionales de Medicamentos (NDC) en las reclamaciones presentadas. Esto se aplica a todos los medicamentos administrados por un m\u00e9dico y facturados mediante un c\u00f3digo del Sistema de codificaci\u00f3n de procedimientos comunes de atenci\u00f3n sanitaria (HCPCS) o de la Terminolog\u00eda de procedimiento actual (CPT\u00ae). La codificaci\u00f3n NDC se aplica a las reclamaciones de servicios facturados en:  <\/p><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>CMS-1500 para proveedores<\/li>\n\n\n\n<li>UB-04 para hospitales y centros<\/li>\n\n\n\n<li>Intercambio electr\u00f3nico de datos (EDI) 837<\/li>\n<\/ul>\n\n\n\n<p><strong>\u00bfQu\u00e9 informaci\u00f3n NDC debe incluirse en las reclamaciones?<\/strong><\/p>\n\n\n\n<p>Las solicitudes deben incluir la siguiente informaci\u00f3n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>N\u00famero NDC v\u00e1lido de 11 d\u00edgitos<\/li>\n\n\n\n<li>NDC Unidad de medida (UM)<\/li>\n\n\n\n<li>Unidades NDC dispensadas\/administradas (debe ser mayor que 0)<\/li>\n<\/ul>\n\n\n\n<p><a href=\"https:\/\/www.oregon.gov\/oha\/HSD\/OHP\/tools\/National%20Drug%20Code%20reporting%20tips.pdf\">M\u00e1s<\/a> informaci\u00f3n sobre el formato de las declaraciones NDC. Tambi\u00e9n puede consultar nuestro <a href=\"https:\/\/www.umpquahealth.com\/form\/claims-support-ndc-validation-process\/\" target=\"_blank\" rel=\"noreferrer noopener\">diagrama del proceso de validaci\u00f3n de NDC<\/a>. <\/p>\n\n\n\n<p><strong>\u00bfD\u00f3nde se encuentra el CDN?<\/strong><\/p>\n\n\n\n<p>El NDC suele encontrarse en la etiqueta del medicamento o en el embalaje exterior del mismo. Si el medicamento viene en una caja con varios viales, se recomienda utilizar el NDC de la caja (embalaje exterior). El n\u00famero del envase puede tener menos de 11 d\u00edgitos. Puede aparecer un asterisco como marcador de posici\u00f3n para los ceros a la izquierda. La etiqueta del envase tambi\u00e9n muestra informaci\u00f3n sobre la unidad de medida de ese medicamento. A continuaci\u00f3n se enumeran las unidades de medida NDC que cubre Umpqua Health con ejemplos:     <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>UN (Unidad) &#8211; Viales llenos de polvo para inyecci\u00f3n (necesita ser reconstituido), pellet, kit, parche, tableta, dispositivo.<\/li>\n\n\n\n<li>ML (mililitro) &#8211; L\u00edquido, soluci\u00f3n o suspensi\u00f3n.<\/li>\n\n\n\n<li>GR (Gramo) &#8211; Pomadas, cremas, inhaladores o polvo a granel en frasco.<\/li>\n\n\n\n<li>F2 (Unidad Internacional) &#8211; Productos descritos como UI\/vial, o microgramos.<\/li>\n<\/ul>\n\n\n\n<p><em>Nota: ME es tambi\u00e9n un calificador de facturaci\u00f3n reconocido que puede utilizarse para identificar miligramos como unidad de medida del NDC; sin embargo, los costes de los medicamentos se crean generalmente a nivel de UN o ML. Si un medicamento se factura utilizando miligramos, se recomienda que los miligramos se facturen en un formato decimal equivalente a gramos. <\/em><\/p>\n\n\n\n<p><strong>\u00bfC\u00f3mo comprobar que el NDC es v\u00e1lido?<\/strong><\/p>\n\n\n\n<p>Para ajustarse al m\u00e1ximo a los requisitos de NDC de la OHA, Umpqua Health utiliza el <a href=\"https:\/\/www.dmepdac.com\/palmetto\/PDACv2.nsf\/DID\/N77SFNQDJD\">archivo cruzado de NDC de an\u00e1lisis y codificaci\u00f3n de datos de precios de<\/a> equipos m\u00e9dicos duraderos (DME) del CMS y <a href=\"https:\/\/www.fda.gov\/drugs\/drug-approvals-and-databases\/national-drug-code-directory\">el archivo de base de datos de NDC de la Administraci\u00f3n de Alimentos y Medicamentos (FDA)<\/a>. En combinaci\u00f3n, estos archivos contienen los NDC v\u00e1lidos. <\/p>\n\n\n\n<p><strong>\u00bfNecesita m\u00e1s informaci\u00f3n?<\/strong><\/p>\n\n\n\n<p>Si tiene alguna pregunta sobre la facturaci\u00f3n NDC que no aparezca aqu\u00ed, env\u00ede un correo electr\u00f3nico a nuestro Departamento de Reclamaciones a <a href=\"mailto:UHAClaims@umpquahealth.com\">UHAClaims@umpquahealth.com.<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div>\n<\/details>\n\n\n\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk-block stk-3f39e32 stk-block-background is-style-default\" data-block-id=\"3f39e32\"><style>.stk-3f39e32 {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-style:solid !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;border-top-width:1px !important;border-right-width:1px !important;border-bottom-width:1px !important;border-left-width:1px !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-bottom:20px !important;}.stk-3f39e32:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-eddfafd stk-block-background stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"eddfafd\"><style>.stk-eddfafd-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;padding-top:42px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}.stk-eddfafd {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}.stk-eddfafd:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}.stk-eddfafd-container:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-eddfafd-container stk-hover-parent\"><div class=\"stk-block-content stk-inner-blocks stk-eddfafd-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-2e9f5da\" data-block-id=\"2e9f5da\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-2af8be7\" id=\"vaccines-for-children-vfc-program\" data-block-id=\"2af8be7\"><h3 class=\"stk-block-heading__text\">Programa Vacunas para los Ni\u00f1os (VFC)<\/h3><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-886bda4\" data-block-id=\"886bda4\"><style>.stk-886bda4 .stk--svg-wrapper .stk--inner-svg svg:last-child{height:20px !important;width:20px !important;}<\/style><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-886bda4\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-886-bda-4-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-886-bda-4-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H10.625V16.875C10.625 17.0408 10.5592 17.1997 10.4419 17.3169C10.3247 17.4342 10.1658 17.5 10 17.5C9.83424 17.5 9.67527 17.4342 9.55806 17.3169C9.44085 17.1997 9.375 17.0408 9.375 16.875V10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H9.375V3.125C9.375 2.95924 9.44085 2.80027 9.55806 2.68306C9.67527 2.56585 9.83424 2.5 10 2.5C10.1658 2.5 10.3247 2.56585 10.4419 2.68306C10.5592 2.80027 10.625 2.95924 10.625 3.125V9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-886bda4\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-886-bda-4-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-886-bda-4-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-d15ca44 stk-block-accordion__content\" data-v=\"4\" data-block-id=\"d15ca44\"><style>.stk-d15ca44-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;padding-top:0px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-d15ca44-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-d15ca44-inner-blocks\">\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-stackable-text stk-block-text stk-block stk-d5b30ae\" data-block-id=\"d5b30ae\"><style>.stk-d5b30ae {padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}<\/style><p class=\"stk-block-text__text\">El <a href=\"https:\/\/www.oregon.gov\/oha\/PH\/PREVENTIONWELLNESS\/VACCINESIMMUNIZATION\/IMMUNIZATIONPROVIDERRESOURCES\/VFC\/Pages\/Overview.aspx\">Programa de Vacunas para Ni\u00f1os (VFC<\/a> ) es un programa federal que proporciona inmunizaciones gratuitas para ni\u00f1os de 0 a 18 a\u00f1os de edad. Umpqua Health no reembolsa el costo de los sueros de las vacunas cubiertas por el Programa VFC. Los proveedores deben facturar a Umpqua Health s\u00f3lo por la administraci\u00f3n de las vacunas cubiertas por el Programa VFC.  <\/p><\/div>\n\n\n\n<p><br\/>Los proveedores deben facturar el c\u00f3digo CPT espec\u00edfico de inmunizaci\u00f3n con el modificador 26 o SL, que indica s\u00f3lo administraci\u00f3n. Los proveedores no deben facturar la administraci\u00f3n de estas vacunas. <\/p>\n\n\n\n<p>Los proveedores que no participan en el programa VFC deben remitir a sus pacientes al Departamento de Salud del Condado para que reciban las vacunas cubiertas por el programa. No requerimos que se presente una factura con la reclamaci\u00f3n para los proveedores que no est\u00e1n inscritos en el programa VFC. <\/p>\n<\/div>\n<\/div><\/div><\/div>\n<\/details>\n\n\n\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk-block stk-a88329d stk-block-background is-style-default\" data-block-id=\"a88329d\"><style>.stk-a88329d {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-style:solid !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;border-top-width:1px !important;border-right-width:1px !important;border-bottom-width:1px !important;border-left-width:1px !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-bottom:20px !important;}.stk-a88329d:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-61344af stk-block-background stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"61344af\"><style>.stk-61344af-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;padding-top:42px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}.stk-61344af {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}.stk-61344af:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}.stk-61344af-container:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-61344af-container stk-hover-parent\"><div class=\"stk-block-content stk-inner-blocks stk-61344af-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-2ed3c9b\" data-block-id=\"2ed3c9b\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-50e41d9\" id=\"sterilization-consent-forms\" data-block-id=\"50e41d9\"><h3 class=\"stk-block-heading__text\">Formularios de consentimiento para la esterilizaci\u00f3n<\/h3><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-3319b16\" data-block-id=\"3319b16\"><style>.stk-3319b16 .stk--svg-wrapper .stk--inner-svg svg:last-child{height:20px !important;width:20px !important;}<\/style><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-3319b16\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-3319-b-16-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-3319-b-16-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H10.625V16.875C10.625 17.0408 10.5592 17.1997 10.4419 17.3169C10.3247 17.4342 10.1658 17.5 10 17.5C9.83424 17.5 9.67527 17.4342 9.55806 17.3169C9.44085 17.1997 9.375 17.0408 9.375 16.875V10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H9.375V3.125C9.375 2.95924 9.44085 2.80027 9.55806 2.68306C9.67527 2.56585 9.83424 2.5 10 2.5C10.1658 2.5 10.3247 2.56585 10.4419 2.68306C10.5592 2.80027 10.625 2.95924 10.625 3.125V9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-3319b16\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-3319-b-16-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-3319-b-16-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-f466bab stk-block-accordion__content\" data-v=\"4\" data-block-id=\"f466bab\"><style>.stk-f466bab-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;padding-top:0px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-f466bab-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-f466bab-inner-blocks\">\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-stackable-text stk-block-text stk-block stk-5b2f3bb\" data-block-id=\"5b2f3bb\"><style>.stk-5b2f3bb {padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}<\/style><p class=\"stk-block-text__text\">Los formularios de consentimiento de esterilizaci\u00f3n son necesarios para el pago de cualquier reclamaci\u00f3n facturada con un c\u00f3digo de procedimiento de esterilizaci\u00f3n. Estamos obligados a presentar los formularios de consentimiento a la OHA para cualquier cargo de esterilizaci\u00f3n recibido. Si no podemos obtener un consentimiento v\u00e1lido, la solicitud ser\u00e1 denegada o recuperada. Esto se aplica a las reclamaciones de profesionales y centros.<br\/>Consejos para completar los formularios de consentimiento:   <\/p><\/div>\n\n\n\n<p><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>El paciente debe firmar el formulario de consentimiento al menos 30 d\u00edas, pero no m\u00e1s de 180 d\u00edas antes del procedimiento.<\/li>\n\n\n\n<li>La declaraci\u00f3n del int\u00e9rprete debe firmarse y fecharse el mismo d\u00eda en que el afiliado\/paciente firma el formulario de consentimiento.<\/li>\n\n\n\n<li>La declaraci\u00f3n del m\u00e9dico debe cumplimentarse por completo y la firma del m\u00e9dico debe estar fechada en la fecha del procedimiento.<\/li>\n\n\n\n<li>La declaraci\u00f3n de la persona que obtiene el consentimiento debe estar firmada y fechada en la misma fecha que el afiliado.<\/li>\n<\/ol>\n\n\n\n<p>Los formularios de consentimiento pueden encontrarse <a href=\"https:\/\/www.oregon.gov\/oha\/hsd\/ohp\/pages\/forms.aspx\">aqu\u00ed<\/a>.<\/p>\n<\/div>\n<\/div><\/div><\/div>\n<\/details>\n\n\n\n<details class=\"wp-block-stackable-accordion stk-block-accordion stk-inner-blocks stk-block-content stk-block stk-4f697f1 stk-block-background is-style-default\" data-block-id=\"4f697f1\"><style>.stk-4f697f1 {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-style:solid !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;border-top-width:1px !important;border-right-width:1px !important;border-bottom-width:1px !important;border-left-width:1px !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-bottom:20px !important;}.stk-4f697f1:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style>\n<summary class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-26c00d7 stk-block-background stk--container-small stk-block-accordion__heading\" data-v=\"4\" data-block-id=\"26c00d7\"><style>.stk-26c00d7-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;padding-top:42px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}.stk-26c00d7 {background-color:var(--theme-palette-color-7, #FBFAF6) !important;box-shadow:none !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}.stk-26c00d7:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}.stk-26c00d7-container:before{background-color:var(--theme-palette-color-7, #FBFAF6) !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-26c00d7-container stk-hover-parent\"><div class=\"stk-block-content stk-inner-blocks stk-26c00d7-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-3bdfcce\" data-block-id=\"3bdfcce\"><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-78b31bc\" id=\"strong-billing-an-ohp-member-strong\" data-block-id=\"78b31bc\"><h3 class=\"stk-block-heading__text\"><strong>Facturaci\u00f3n a un miembro del OHP<\/strong><\/h3><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-80045eb\" data-block-id=\"80045eb\"><style>.stk-80045eb .stk--svg-wrapper .stk--inner-svg svg:last-child{height:20px !important;width:20px !important;}<\/style><span class=\"stk--svg-wrapper stk--has-icon2\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-80045eb\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-80045-eb-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-80045-eb-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H10.625V16.875C10.625 17.0408 10.5592 17.1997 10.4419 17.3169C10.3247 17.4342 10.1658 17.5 10 17.5C9.83424 17.5 9.67527 17.4342 9.55806 17.3169C9.44085 17.1997 9.375 17.0408 9.375 16.875V10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H9.375V3.125C9.375 2.95924 9.44085 2.80027 9.55806 2.68306C9.67527 2.56585 9.83424 2.5 10 2.5C10.1658 2.5 10.3247 2.56585 10.4419 2.68306C10.5592 2.80027 10.625 2.95924 10.625 3.125V9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><div class=\"stk--inner-svg stk--icon-2\" style=\"display:none\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-80045eb\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-80045-eb-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-80045-eb-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 20\" fill=\"none\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M17.5 10C17.5 10.1658 17.4342 10.3247 17.3169 10.4419C17.1997 10.5592 17.0408 10.625 16.875 10.625H3.125C2.95924 10.625 2.80027 10.5592 2.68306 10.4419C2.56585 10.3247 2.5 10.1658 2.5 10C2.5 9.83424 2.56585 9.67527 2.68306 9.55806C2.80027 9.44085 2.95924 9.375 3.125 9.375H16.875C17.0408 9.375 17.1997 9.44085 17.3169 9.55806C17.4342 9.67527 17.5 9.83424 17.5 10Z\" fill=\"#005B7B\"><\/path>\n<\/svg><\/div><\/span><\/div>\n<\/div><\/div>\n<\/div><\/div><\/summary>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-21db029 stk-block-accordion__content\" data-v=\"4\" data-block-id=\"21db029\"><style>.stk-21db029-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;padding-top:0px !important;padding-right:42px !important;padding-bottom:42px !important;padding-left:42px !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-21db029-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-21db029-inner-blocks\">\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-stackable-text stk-block-text stk-block stk-73a8f50\" data-block-id=\"73a8f50\"><style>.stk-73a8f50 {padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}<\/style><p class=\"stk-block-text__text\">Los proveedores tienen prohibido facturar a un miembro de Umpqua Health por servicios cubiertos por Medicaid. Los miembros s\u00f3lo pueden ser facturados si se cumplen <strong>todos los<\/strong> criterios siguientes: <\/p><\/div>\n\n\n\n<ol class=\"wp-block-list\">\n<li>El servicio <strong>no<\/strong> est\u00e1 cubierto por Medicaid.<\/li>\n\n\n\n<li>Se han probado todos los tratamientos razonablemente cubiertos O el afiliado conoce los tratamientos razonablemente cubiertos pero ha elegido un tratamiento que no est\u00e1 cubierto <strong>; y<\/strong><\/li>\n\n\n\n<li>El miembro y el proveedor han completado un <strong><a href=\"https:\/\/sharedsystems.dhsoha.state.or.us\/DHSForms\/Served\/he3165.pdf\">Acuerdo del cliente del OHP para pagar los servicios de salud (OHP 3165)<\/a><\/strong><\/li>\n<\/ol>\n\n\n\n<p>Estas normas de cobertura se describen en <a href=\"https:\/\/secure.sos.state.or.us\/oard\/viewSingleRule.action?ruleVrsnRsn=291495\">OAR 410-120-1280<\/a>.<\/p>\n<\/div>\n<\/div><\/div><\/div>\n<\/details>\n<\/div>\n<\/div>\n\n<div>\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-46b7114 stk-block-background\" data-block-id=\"46b7114\"><style>.stk-46b7114 {background-color:#f5f8f9 !important;border-style:solid !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;border-top-width:1px !important;border-right-width:1px !important;border-bottom-width:1px !important;border-left-width:1px !important;padding-top:46px !important;padding-right:84px !important;padding-bottom:46px !important;padding-left:84px !important;margin-bottom:44px !important;z-index:1 !important;top:0 !important;}.stk-46b7114:hover{background-color:#ebf3eb !important;box-shadow:5px 11px 18px 0px #0000001f !important;border-color:#ebf3eb !important;top:-20px !important;}.stk-46b7114:before{background-color:#f5f8f9 !important;}.stk-46b7114:hover:before{background-color:#ebf3eb !important;}@media screen and (max-width:999px){.stk-46b7114 {padding-top:30px !important;padding-right:30px !important;padding-bottom:30px !important;padding-left:30px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-46b7114-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-9da276e panel-card\" data-v=\"4\" data-block-id=\"9da276e\"><style>.stk-9da276e-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}.stk-9da276e {align-self:center !important;max-width:495px !important;min-width:auto !important;}.stk-9da276e-inner-blocks{align-items:flex-start !important;}@media screen and (min-width:690px){.stk-9da276e {flex:var(--stk-flex-grow, 1) 1 calc(66.666% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}@media screen and (min-width:690px) and (max-width:999px){.stk-9da276e {flex:var(--stk-flex-grow, 1) 1 calc(100% - var(--stk-column-gap, 0px) * 0 \/ 1 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-9da276e-container stk--no-background stk--no-padding\"><div class=\"has-text-align-left stk--column-flex stk-block-content stk-inner-blocks stk-9da276e-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-518188c stk-block-background\" data-block-id=\"518188c\"><style>.stk-518188c .stk-inner-blocks{gap:10px !important;}.stk-518188c {background-color:var(--theme-palette-color-10, #D7E9D4) !important;border-top-left-radius:4px !important;border-top-right-radius:4px !important;border-bottom-right-radius:4px !important;border-bottom-left-radius:4px !important;overflow:hidden !important;padding-top:7px !important;padding-right:14px !important;padding-bottom:7px !important;padding-left:14px !important;margin-bottom:24px !important;}.stk-518188c:before{background-color:var(--theme-palette-color-10, #D7E9D4) !important;}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-icon stk-block-icon has-text-align-left stk-block stk-e72c9ec\" data-block-id=\"e72c9ec\"><style>.stk-e72c9ec .stk--svg-wrapper .stk--inner-svg svg:last-child{height:20px !important;width:20px !important;}<\/style><span class=\"stk--svg-wrapper\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-e72c9ec\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-e-72-c-9-ec-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-e-72-c-9-ec-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 21\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M10.0001 9.7158C11.841 9.7158 13.3334 8.22342 13.3334 6.38247C13.3334 4.54152 11.841 3.04913 10.0001 3.04913C8.15913 3.04913 6.66675 4.54152 6.66675 6.38247C6.66675 8.22342 8.15913 9.7158 10.0001 9.7158Z\" stroke=\"#30822C\" stroke-width=\"1.2\" stroke-linejoin=\"round\"><\/path>\n<path d=\"M18 18.5491V14.5491C18 13.4446 17.1046 12.5491 16 12.5491H4C2.89543 12.5491 2 13.4446 2 14.5491V18.5491\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/path>\n<circle cx=\"6\" cy=\"16.5491\" r=\"1.4\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/circle>\n<path d=\"M6 15.5491V13.0491\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/path>\n<path d=\"M12.5 14.5491V12.5491\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/path>\n<path d=\"M15 18.5491V17.0491C15 15.6684 13.8807 14.5491 12.5 14.5491V14.5491V14.5491C11.1193 14.5491 10 15.6684 10 17.0491V18.5491\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/path>\n<\/svg><\/div><\/span><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-355fd02\" id=\"provider\" data-block-id=\"355fd02\"><style>.stk-355fd02 {align-items:center !important;max-width:1500px !important;min-width:auto !important;margin-right:auto !important;margin-left:0px !important;display:flex !important;overflow:hidden !important;}.stk-355fd02 .stk-block-heading__text{color:var(--theme-palette-color-13, #30822C) !important;line-height:15px !important;}<\/style><h4 class=\"stk-block-heading__text has-text-color has-text-align-left\">PROVEEDOR<\/h4><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-5bd1449\" id=\"contact-us\" data-block-id=\"5bd1449\"><style>.stk-5bd1449 {margin-bottom:24px !important;}.stk-5bd1449 .stk-block-heading__text{color:var(--theme-palette-color-13, #30822C) !important;}@media screen and (max-width:999px){.stk-5bd1449 {margin-right:170px !important;margin-bottom:20px !important;}.stk-5bd1449 .stk-block-heading__text{font-size:30px !important;}}@media screen and (max-width:689px){.stk-5bd1449 {margin-right:0px !important;margin-bottom:80px !important;}.stk-5bd1449 .stk-block-heading__text{font-size:25px !important;line-height:1.25em !important;}}<\/style><h2 class=\"stk-block-heading__text has-text-color has-palette-color-8-color has-text-align-left-tablet\">Contacte con nosotros<\/h2><\/div>\n\n\n\n<p>Equipo de asistencia para reclamaciones de UHA (disponible de lunes a viernes, de 8.00 a 17.00 horas PST)<\/p>\n\n\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-56a813c\" data-block-id=\"56a813c\"><style>.stk-56a813c-column{--stk-columns-spacing:0px !important;--stk-column-gap:28px !important;justify-content:flex-start !important;}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-56a813c-column stk--flex\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-5a7d7e0\" data-v=\"4\" data-block-id=\"5a7d7e0\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-5a7d7e0-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-5a7d7e0-inner-blocks\">\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-59ae7aa\" id=\"gspb_button-id-gsbp-59ae7aa\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button\" href=\"mailto:UHAClaims@umpquahealth.com\" target=\"_blank\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">ENV\u00cdENOS UN CORREO ELECTR\u00d3NICO<\/span><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-3847cdd\" data-v=\"4\" data-block-id=\"3847cdd\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-3847cdd-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-3847cdd-inner-blocks\">\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-6560030\" id=\"gspb_button-id-gsbp-6560030\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button\" href=\"tel:5412294842\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">LLAME AL 541-229-4842<\/span><\/span><span class=\"gspb-buttonbox-icon\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" style=\"width:5rem;height:5rem;margin:10px\" width=\"20\" height=\"20\" viewbox=\"0 0 20 20\"><path d=\"M18.8169 10.4422L13.1919 16.0672C13.0747 16.1845 12.9156 16.2504 12.7498 16.2504C12.5839 16.2504 12.4248 16.1845 12.3076 16.0672C12.1903 15.9499 12.1244 15.7909 12.1244 15.625C12.1244 15.4592 12.1903 15.3001 12.3076 15.1828L16.8662 10.625H1.62476C1.459 10.625 1.30002 10.5592 1.18281 10.442C1.0656 10.3247 0.999756 10.1658 0.999756 10C0.999756 9.83425 1.0656 9.67528 1.18281 9.55807C1.30002 9.44086 1.459 9.37501 1.62476 9.37501H16.8662L12.3076 4.8172C12.1903 4.69992 12.1244 4.54086 12.1244 4.37501C12.1244 4.20916 12.1903 4.0501 12.3076 3.93282C12.4248 3.81555 12.5839 3.74966 12.7498 3.74966C12.9156 3.74966 13.0747 3.81555 13.1919 3.93282L18.8169 9.55782C18.8751 9.61587 18.9212 9.6848 18.9526 9.76067C18.9841 9.83655 19.0002 9.91788 19.0002 10C19.0002 10.0821 18.9841 10.1635 18.9526 10.2393C18.9212 10.3152 18.8751 10.3842 18.8169 10.4422Z\" fill=\"#063A4C\"><\/path><\/svg><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-7db5263\" data-v=\"4\" data-block-id=\"7db5263\"><style>.stk-7db5263-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}.stk-7db5263-inner-blocks{justify-content:center !important;}.stk-7db5263 {z-index:10 !important;}@media screen and (min-width:690px){.stk-7db5263 {flex:var(--stk-flex-grow, 1) 1 calc(33.334% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}@media screen and (min-width:690px) and (max-width:999px){.stk-7db5263 {flex:var(--stk-flex-grow, 1) 1 calc(100% - var(--stk-column-gap, 0px) * 0 \/ 1 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-7db5263-container stk--no-background stk--no-padding\"><div class=\"stk--column-flex stk-block-content stk-inner-blocks stk-7db5263-inner-blocks\">\n<div class=\"wp-block-stackable-image stk-block-image has-text-align-right-tablet stk-block stk-c6ded59\" data-block-id=\"c6ded59\"><style>.stk-c6ded59 {max-width:570px !important;min-width:auto !important;margin-bottom:0px !important;right:-84px !important;bottom:-46px !important;position:absolute !important;z-index:1 !important;}.stk-c6ded59 .stk-img-wrapper{width:540px !important;}@media screen and (max-width:999px){.stk-c6ded59 {right:-30px !important;bottom:-30px !important;}.stk-c6ded59 .stk-img-wrapper{width:50% !important;}}<\/style><figure><span class=\"stk-img-wrapper stk-image--shape-stretch\"><img loading=\"lazy\" decoding=\"async\" class=\"stk-img wp-image-1959\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png\" width=\"1104\" height=\"652\" srcset=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png 1104w, https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees-300x177.png 300w, https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees-1024x605.png 1024w, https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees-768x454.png 768w\" sizes=\"auto, (max-width: 1104px) 100vw, 1104px\" \/><\/span><\/figure><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Proveedores de Umpqua Health Reclamaciones Encuentre todo lo que necesita saber como proveedor de Umpqua Health sobre la presentaci\u00f3n de reclamaciones electr\u00f3nicas y en papel, las directrices de presentaci\u00f3n oportuna y las apelaciones. Requisitos para la inscripci\u00f3n de proveedores y la presentaci\u00f3n de reclamaciones Proveedores de fuera del \u00e1rea Si usted es un proveedor fuera [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_gspb_post_css":"#gspb_button-id-gsbp-56cbfdc,#gspb_button-id-gsbp-59ae7aa,#gspb_button-id-gsbp-6560030,#gspb_button-id-gsbp-b1c8daa,#gspb_button-id-gsbp-e55a905{display:flex;justify-content:flex-start}#gspb_button-id-gsbp-e55a905 .gspb-buttonbox-text{display:flex;flex-direction:column}#gspb_button-id-gsbp-e55a905>.gspb-buttonbox{box-sizing:border-box;margin-top:0;margin-bottom:20px;padding:12px 33px;background-color:#00000000;font-size:14px;line-height:22px;font-weight:700!important;color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C));border-style:solid;border-width:2px;border-color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C))}#gspb_button-id-gsbp-e55a905>.gspb-buttonbox:hover{background-color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C))!important;color:var(--wp--preset--color--palette-color-8, var(--theme-palette-color-8, #FFFFFF))}#gspb_button-id-gsbp-e55a905>.gspb-buttonbox,#gspb_button-id-gsbp-e55a905>.gspb-buttonbox>.gspb_backgroundOverlay{border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0}body.gspb-bodyfront #gspb_button-id-gsbp-56cbfdc,body.gspb-bodyfront #gspb_button-id-gsbp-e55a905{position:relative}#gspb_button-id-gsbp-56cbfdc .gspb-buttonbox-text{display:flex;flex-direction:column}#gspb_button-id-gsbp-56cbfdc>.gspb-buttonbox{box-sizing:border-box;margin-top:0;margin-bottom:20px;padding:12px 33px;background-color:#00000000;text-transform:uppercase;font-size:14px;line-height:22px;font-weight:700!important;color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C));border-style:solid;border-width:2px;border-color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C))}#gspb_button-id-gsbp-56cbfdc>.gspb-buttonbox:hover{background-color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C))!important;color:var(--wp--preset--color--palette-color-8, var(--theme-palette-color-8, #FFFFFF))}#gspb_button-id-gsbp-56cbfdc>.gspb-buttonbox,#gspb_button-id-gsbp-56cbfdc>.gspb-buttonbox>.gspb_backgroundOverlay{border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0}.gspb_container-id-gsbp-f0a2282{flex-direction:column;box-sizing:border-box}#gspb_container-id-gsbp-f0a2282.gspb_container>p:last-of-type{margin-bottom:0}#gspb_container-id-gsbp-f0a2282.gspb_container{position:relative}#gspb_button-id-gsbp-b1c8daa .gspb-buttonbox-text{display:flex;flex-direction:column}#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox{box-sizing:border-box}#gspb_button-id-gsbp-6560030>.gspb-buttonbox>.gspb-buttonbox-textwrap>.gspb-buttonbox-icon,#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox>.gspb-buttonbox-textwrap>.gspb-buttonbox-icon{display:flex}#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox .gspb-buttonbox-icon svg,#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox .gspb-buttonbox-icon svg path{fill:var(--wp--preset--color--palette-color-5, var(--theme-palette-color-5, #005B7B))!important}#gspb_button-id-gsbp-6560030>.gspb-buttonbox:hover .gspb-buttonbox-icon svg,#gspb_button-id-gsbp-6560030>.gspb-buttonbox:hover .gspb-buttonbox-icon svg path,#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox:hover .gspb-buttonbox-icon svg,#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox:hover .gspb-buttonbox-icon svg path{fill:var(--theme-link-initial-color, currentColor)!important}#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox>.gspb-buttonbox-textwrap{display:flex;flex-direction:row;align-items:center}#gspb_button-id-gsbp-b1c8daa .gspb-buttonbox-icon{margin-left:13px}#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox .gspb-buttonbox-icon{margin-left:6px}#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox{margin-bottom:0;padding-left:0;background-color:#ffffff00;font-weight:700!important}#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox,#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox:hover{color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C))}#gspb_button-id-gsbp-59ae7aa .gspb-buttonbox-text{display:flex;flex-direction:column}#gspb_button-id-gsbp-59ae7aa>.gspb-buttonbox{box-sizing:border-box;padding:12px 33px;background-color:#00000000;font-size:14px;line-height:22px;font-weight:700!important;color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C));border-style:solid;border-width:2px;border-color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C))}#gspb_button-id-gsbp-59ae7aa>.gspb-buttonbox:hover{background-color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C))!important;color:var(--wp--preset--color--palette-color-8, var(--theme-palette-color-8, #FFFFFF))}#gspb_button-id-gsbp-59ae7aa>.gspb-buttonbox,#gspb_button-id-gsbp-59ae7aa>.gspb-buttonbox>.gspb_backgroundOverlay{border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0}#gspb_button-id-gsbp-6560030 .gspb-buttonbox-text{display:flex;flex-direction:column}#gspb_button-id-gsbp-6560030>.gspb-buttonbox{box-sizing:border-box}#gspb_button-id-gsbp-6560030>.gspb-buttonbox .gspb-buttonbox-icon svg,#gspb_button-id-gsbp-b1c8daa>.gspb-buttonbox .gspb-buttonbox-icon svg{height:20px!important;width:20px!important;min-width:20px!important;margin:0!important}#gspb_button-id-gsbp-6560030>.gspb-buttonbox .gspb-buttonbox-icon svg,#gspb_button-id-gsbp-6560030>.gspb-buttonbox .gspb-buttonbox-icon svg path{fill:var(--wp--preset--color--palette-color-5, var(--theme-palette-color-5, #005B7B))!important}#gspb_button-id-gsbp-6560030>.gspb-buttonbox>.gspb-buttonbox-textwrap{display:flex;flex-direction:row;align-items:center}#gspb_button-id-gsbp-6560030 .gspb-buttonbox-icon{margin-left:13px}#gspb_button-id-gsbp-6560030>.gspb-buttonbox .gspb-buttonbox-icon{margin-left:6px}#gspb_button-id-gsbp-6560030>.gspb-buttonbox{background-color:#ffffff00;font-weight:700!important;color:var(--wp--preset--color--palette-color-5, var(--theme-palette-color-5, #005B7B))}#gspb_button-id-gsbp-6560030>.gspb-buttonbox:hover{color:var(--wp--preset--color--palette-color-13, var(--theme-palette-color-13, #30822C))}","footnotes":""},"class_list":["post-12653","page","type-page","status-publish","hentry"],"blocksy_meta":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Reclamaciones - Umpqua Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reclamaciones - Umpqua Health\" \/>\n<meta property=\"og:description\" content=\"Proveedores de Umpqua Health Reclamaciones Encuentre todo lo que necesita saber como proveedor de Umpqua Health sobre la presentaci\u00f3n de reclamaciones electr\u00f3nicas y en papel, las directrices de presentaci\u00f3n oportuna y las apelaciones. Requisitos para la inscripci\u00f3n de proveedores y la presentaci\u00f3n de reclamaciones Proveedores de fuera del \u00e1rea Si usted es un proveedor fuera [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/\" \/>\n<meta property=\"og:site_name\" content=\"Umpqua Health\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/UmpquaHealth\/\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-15T00:11:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1104\" \/>\n\t<meta property=\"og:image:height\" content=\"652\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/\",\"url\":\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/\",\"name\":\"Reclamaciones - Umpqua Health\",\"isPartOf\":{\"@id\":\"https:\/\/www.umpquahealth.com\/es\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png\",\"datePublished\":\"2025-01-22T20:03:11+00:00\",\"dateModified\":\"2025-08-15T00:11:26+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#breadcrumb\"},\"inLanguage\":\"es-ES\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es-ES\",\"@id\":\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#primaryimage\",\"url\":\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png\",\"contentUrl\":\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.umpquahealth.com\/es\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Reclamaciones\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.umpquahealth.com\/es\/#website\",\"url\":\"https:\/\/www.umpquahealth.com\/es\/\",\"name\":\"Umpqua Health\",\"description\":\"Umpqua Health is a mission-driven, community-focused healthcare organization proudly serving Douglas County, Oregon.\",\"publisher\":{\"@id\":\"https:\/\/www.umpquahealth.com\/es\/#organization\"},\"alternateName\":\"UHA\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.umpquahealth.com\/es\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es-ES\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.umpquahealth.com\/es\/#organization\",\"name\":\"Umpqua Health Alliance\",\"alternateName\":\"UHA\",\"url\":\"https:\/\/www.umpquahealth.com\/es\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es-ES\",\"@id\":\"https:\/\/www.umpquahealth.com\/es\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/umpqua-health-logo-color.svg\",\"contentUrl\":\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/umpqua-health-logo-color.svg\",\"width\":200,\"height\":54,\"caption\":\"Umpqua Health Alliance\"},\"image\":{\"@id\":\"https:\/\/www.umpquahealth.com\/es\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/UmpquaHealth\/\",\"https:\/\/www.linkedin.com\/company\/umpqua-health\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Reclamaciones - Umpqua Health","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/","og_locale":"es_ES","og_type":"article","og_title":"Reclamaciones - Umpqua Health","og_description":"Proveedores de Umpqua Health Reclamaciones Encuentre todo lo que necesita saber como proveedor de Umpqua Health sobre la presentaci\u00f3n de reclamaciones electr\u00f3nicas y en papel, las directrices de presentaci\u00f3n oportuna y las apelaciones. Requisitos para la inscripci\u00f3n de proveedores y la presentaci\u00f3n de reclamaciones Proveedores de fuera del \u00e1rea Si usted es un proveedor fuera [&hellip;]","og_url":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/","og_site_name":"Umpqua Health","article_publisher":"https:\/\/www.facebook.com\/UmpquaHealth\/","article_modified_time":"2025-08-15T00:11:26+00:00","og_image":[{"width":1104,"height":652,"url":"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"11 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/","url":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/","name":"Reclamaciones - Umpqua Health","isPartOf":{"@id":"https:\/\/www.umpquahealth.com\/es\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#primaryimage"},"image":{"@id":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#primaryimage"},"thumbnailUrl":"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png","datePublished":"2025-01-22T20:03:11+00:00","dateModified":"2025-08-15T00:11:26+00:00","breadcrumb":{"@id":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#breadcrumb"},"inLanguage":"es-ES","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.umpquahealth.com\/es\/reclamaciones\/"]}]},{"@type":"ImageObject","inLanguage":"es-ES","@id":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#primaryimage","url":"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png","contentUrl":"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png"},{"@type":"BreadcrumbList","@id":"https:\/\/www.umpquahealth.com\/es\/reclamaciones\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.umpquahealth.com\/es\/"},{"@type":"ListItem","position":2,"name":"Reclamaciones"}]},{"@type":"WebSite","@id":"https:\/\/www.umpquahealth.com\/es\/#website","url":"https:\/\/www.umpquahealth.com\/es\/","name":"Umpqua Health","description":"Umpqua Health is a mission-driven, community-focused healthcare organization proudly serving Douglas County, Oregon.","publisher":{"@id":"https:\/\/www.umpquahealth.com\/es\/#organization"},"alternateName":"UHA","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.umpquahealth.com\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es-ES"},{"@type":"Organization","@id":"https:\/\/www.umpquahealth.com\/es\/#organization","name":"Umpqua Health Alliance","alternateName":"UHA","url":"https:\/\/www.umpquahealth.com\/es\/","logo":{"@type":"ImageObject","inLanguage":"es-ES","@id":"https:\/\/www.umpquahealth.com\/es\/#\/schema\/logo\/image\/","url":"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/umpqua-health-logo-color.svg","contentUrl":"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/umpqua-health-logo-color.svg","width":200,"height":54,"caption":"Umpqua Health Alliance"},"image":{"@id":"https:\/\/www.umpquahealth.com\/es\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/UmpquaHealth\/","https:\/\/www.linkedin.com\/company\/umpqua-health\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.umpquahealth.com\/es\/wp-json\/wp\/v2\/pages\/12653","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.umpquahealth.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.umpquahealth.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.umpquahealth.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.umpquahealth.com\/es\/wp-json\/wp\/v2\/comments?post=12653"}],"version-history":[{"count":2,"href":"https:\/\/www.umpquahealth.com\/es\/wp-json\/wp\/v2\/pages\/12653\/revisions"}],"predecessor-version":[{"id":13881,"href":"https:\/\/www.umpquahealth.com\/es\/wp-json\/wp\/v2\/pages\/12653\/revisions\/13881"}],"wp:attachment":[{"href":"https:\/\/www.umpquahealth.com\/es\/wp-json\/wp\/v2\/media?parent=12653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}