Official publication aid

General Index

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2,701–2,800 of 8,687 entries · 78 printed pages

HEALTH INSURANCE

Notices (Cont.)

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HEALTH INSURANCE

Rescission of coverage, 743B.310

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Rules, generally, 743B.324

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Short term policies, 743B.109

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Nurses and nursing

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Newborn home visiting services, 433.301, 743A.078

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Nurse practitioner services, 743A.036

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Opioids and opiates, see Drugs and medicines, this topic

See DRUGS AND MEDICINES

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Optometrists and ophthalmologists, see Eye care, this topic

See EYE CARE

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Oral health care, see Dental care, this topic

See DENTAL CARE

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Organ or tissue donations or transplants, discrimination, 441.078, 746.023

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Orthotic devices, 743A.145

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Osteopathic physician services, reimbursement, 743A.018

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Other valid coverage, defined, 743.459, 743.462

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Out-of-pocket costs (generally)

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Cost estimate disclosures

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Alternative disclosure mechanism, 743B.284

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Definitions, 743B.275

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In-network procedure or service, 743B.281

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Methodology, submission, 743B.283

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Out-of-network procedure or service, 743B.282

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Rules, 743B.285

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Credits, direct payments by enrollee to provider, 743B.277

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Health savings accounts, exemption from prohibition on deductibles, 742.008

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Hospital payment for insured, 743B.290

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Prescription drugs, generally, 743B.603

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Rules, 743B.285

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Patient centered primary care homes, see

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PATIENT CENTERED PRIMARY CARE

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HOMES, generally

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Patient Protection and Affordable Care Act (federal), 743B.003, 743B.110

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Payment of claims

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(Generally), 743B.450 et seq.

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Credentialing period, claims submitted during, 743B.454

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Direct payments to providers, 743.543, 743B.462

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Guidelines for coordination of benefits, 743B.475

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Interest on unpaid claims, 743B.452

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Medical assistance program, generally, 743B.470

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Primary care

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Payment collaborative, see note after, 743B.475

See NOTE AFTER, 743B.475

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Performance-based incentive payments, 743B.458

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Refund of paid claims, 743B.451

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Restricting payments to only in-network providers, 743B.460

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Time of payment, policy provisions, 743.432, 743.435

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Underpayment of claims, 743B.453

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Workers’ compensation, enrollees covered by, 743B.810

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Pediatric care, see Children and dependents, this topic

See CHILDREN AND DEPENDENTS

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Pelvic examinations and Pap smears, coverage, 743A.104

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Penalties

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Civil, see Civil penalties, this topic

See CIVIL PENALTIES

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Penalties (Cont.)

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Demographic data violations, 413.164

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Performance-based incentive payments, primary care, 743B.458

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Perimenopause, 743A.114

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Personal insurance, 743.040

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Pervasive developmental disorders, coverage, 743A.190

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Pharmacists and pharmacies

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See also Drugs and medicines, this topic

See DRUGS AND MEDICINES

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(Generally), 743A.051

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Clinician-administered drugs, cancer treatment, 743B.610

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Pharmacy benefit managers

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(Generally), 735.530 et seq.

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340B drugs, 735.534

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Audits, pharmacy claims

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(Generally), 735.542

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Compensation of auditors, 735.546

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Definitions, 735.540

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Fraud, 735.552

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Information disclosures, 735.546

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Reports of findings, 735.550

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Resubmitting claim after audit, 735.550

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Standards for review of claims, 735.544

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Validation of claims, 735.548

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Fees

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Licensure, 735.532

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Reports, amounts received, 735.537

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Maximum allowable costs, 735.534

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Oregon Prescription Drug Program, 414.312

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Payments from manufacturers, reporting, 735.537

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Pharmacy services administrative organizations, 735.538, 744.702

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Sanctions, basis, 735.533

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Pharmacy services administrative organizations, 735.538, 744.702

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