CalOES 960 Reimbursement to LE

Account Admin, Report Admin, Team Admin, Team Manager, Forensic Examiner, Healthcare Provider, Recipient, Hospital Billing Admin

2. Click on Sign in

Click on Sign in

3. Click on Create Report

Click on Create Report

4. Click on Create new next to Invoice for Reimbursement for Medical Evidentiary Examination for victims of Sexual Assault

Click on Create new next to Invoice for Reimbursement for Medical Evidentiary Examination for victims of Sexual Assault

5. Enter Agency Information

Enter Agency Information

6. Enter Payment Address

Enter Payment Address

7. Click on Next: B:Case Information

Click on Next: B:Case Information

8. Enter the MRG Suite Report ID

Enter the MRG Suite Report ID

9. Click on the down arrow to read about Reimbursement Guidance

Click on the down arrow to read about Reimbursement Guidance

10. Based on the Reimbursement Guidance criteria, choose the appropriate report type

Based on the Reimbursement Guidance criteria, choose the appropriate report type

11. Enter the Actual Cost of Exam

Enter the Actual Cost of Exam

12. Based on the Type of Report and Reimbursement Guidance, enter the Reimbursement Requested

Based on the Type of Report and Reimbursement Guidance, enter the Reimbursement Requested

13. Click on C: Submitter Information

Click on C: Submitter Information

14. Enter Submitter Information

Enter Submitter Information

15. Check I consent to MRG facilitating this submission on my behalf.

Check I consent to MRG facilitating this submission on my behalf.

16. Click on Final Review

Click on Final Review

17. Click on I have reviewed the completed report and it is ready to be locked and saved.

Click on I have reviewed the completed report and it is ready to be locked and saved.

18. Click on LOCK

Click on LOCK

19. Click on Transmit to Recipients to transmit the report to CAL-OES

Click on Transmit to Recipients to transmit the report to CAL-OES

Still need help? Contact Us Contact Us