HEALTH INSURANCE
Notices (Cont.)
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HEALTH INSURANCE
Notices (Cont.)
HEALTH INSURANCE
Rescission of coverage, 743B.310
HEALTH INSURANCE
Rules, generally, 743B.324
HEALTH INSURANCE
Short term policies, 743B.109
HEALTH INSURANCE
Nurses and nursing
HEALTH INSURANCE
Newborn home visiting services, 433.301, 743A.078
HEALTH INSURANCE
Nurse practitioner services, 743A.036
HEALTH INSURANCE
Occupation of insured, 743.450, 743.477
HEALTH INSURANCE
Opioids and opiates, see Drugs and medicines, this topic
See DRUGS AND MEDICINES
HEALTH INSURANCE
Optometrists and ophthalmologists, see Eye care, this topic
See EYE CARE
HEALTH INSURANCE
Oral health care, see Dental care, this topic
See DENTAL CARE
HEALTH INSURANCE
Organ or tissue donations or transplants, discrimination, 441.078, 746.023
HEALTH INSURANCE
Orthotic devices, 743A.145
HEALTH INSURANCE
Osteopathic physician services, reimbursement, 743A.018
HEALTH INSURANCE
Other insurance, 743.456, 743.459, 743.462
HEALTH INSURANCE
Other valid coverage, defined, 743.459, 743.462
HEALTH INSURANCE
Out-of-pocket costs (generally)
HEALTH INSURANCE
Balance billing prohibitions, 743B.287, 743B.288, 743B.292
HEALTH INSURANCE
Cost estimate disclosures
HEALTH INSURANCE
Alternative disclosure mechanism, 743B.284
HEALTH INSURANCE
Definitions, 743B.275
HEALTH INSURANCE
In-network procedure or service, 743B.281
HEALTH INSURANCE
Methodology, submission, 743B.283
HEALTH INSURANCE
Out-of-network procedure or service, 743B.282
HEALTH INSURANCE
Rules, 743B.285
HEALTH INSURANCE
Credits, direct payments by enrollee to provider, 743B.277
HEALTH INSURANCE
Health savings accounts, exemption from prohibition on deductibles, 742.008
HEALTH INSURANCE
Hospital payment for insured, 743B.290
HEALTH INSURANCE
Prescription drugs, generally, 743B.603
HEALTH INSURANCE
Rules, 743B.285
HEALTH INSURANCE
Out-of-wedlock child, 659.830, 743A.084, 743B.470
HEALTH INSURANCE
Patient centered primary care homes, see
HEALTH INSURANCE
PATIENT CENTERED PRIMARY CARE
HEALTH INSURANCE
HOMES, generally
HEALTH INSURANCE
Patient Protection and Affordable Care Act (federal), 743B.003, 743B.110
HEALTH INSURANCE
Payment of claims
HEALTH INSURANCE
(Generally), 743B.450 et seq.
HEALTH INSURANCE
Clean claims, 743.665, 743B.450
HEALTH INSURANCE
Credentialing period, claims submitted during, 743B.454
HEALTH INSURANCE
Direct payments to providers, 743.543, 743B.462
HEALTH INSURANCE
Electronic payment methods, 743B.450, 743B.456
HEALTH INSURANCE
Guidelines for coordination of benefits, 743B.475
HEALTH INSURANCE
Interest on unpaid claims, 743B.452
HEALTH INSURANCE
Medical assistance program, generally, 743B.470
HEALTH INSURANCE
Primary care
HEALTH INSURANCE
Payment collaborative, see note after, 743B.475
See NOTE AFTER, 743B.475
HEALTH INSURANCE
Performance-based incentive payments, 743B.458
HEALTH INSURANCE
Prompt payment, 743.665, 743B.450
HEALTH INSURANCE
Refund of paid claims, 743B.451
HEALTH INSURANCE
Restricting payments to only in-network providers, 743B.460
HEALTH INSURANCE
Time of payment, policy provisions, 743.432, 743.435
HEALTH INSURANCE
Underpayment of claims, 743B.453
HEALTH INSURANCE
Workers’ compensation, enrollees covered by, 743B.810
HEALTH INSURANCE
Pediatric care, see Children and dependents, this topic
See CHILDREN AND DEPENDENTS
HEALTH INSURANCE
Pelvic examinations and Pap smears, coverage, 743A.104
HEALTH INSURANCE
Penalties
HEALTH INSURANCE
Civil, see Civil penalties, this topic
See CIVIL PENALTIES
HEALTH INSURANCE
Penalties (Cont.)
HEALTH INSURANCE
Demographic data violations, 413.164
HEALTH INSURANCE
Performance-based incentive payments, primary care, 743B.458
HEALTH INSURANCE
Perimenopause, 743A.114
HEALTH INSURANCE
Personal insurance, 743.040
HEALTH INSURANCE
Pervasive developmental disorders, coverage, 743A.190
HEALTH INSURANCE
Pharmacists and pharmacies
HEALTH INSURANCE
See also Drugs and medicines, this topic
See DRUGS AND MEDICINES
HEALTH INSURANCE
(Generally), 743A.051
HEALTH INSURANCE
340B drugs, 689.818, 689.820, 735.534, 743A.062
HEALTH INSURANCE
Clinician-administered drugs, cancer treatment, 743B.610
HEALTH INSURANCE
Pharmacy benefit managers
HEALTH INSURANCE
(Generally), 735.530 et seq.
HEALTH INSURANCE
340B drugs, 735.534
HEALTH INSURANCE
Appeals, 735.534, 735.542, 735.550
HEALTH INSURANCE
Audits, pharmacy claims
HEALTH INSURANCE
(Generally), 735.542
HEALTH INSURANCE
Appeals, 735.542, 735.550
HEALTH INSURANCE
Compensation of auditors, 735.546
HEALTH INSURANCE
Definitions, 735.540
HEALTH INSURANCE
Fraud, 735.552
HEALTH INSURANCE
Information disclosures, 735.546
HEALTH INSURANCE
Reports of findings, 735.550
HEALTH INSURANCE
Resubmitting claim after audit, 735.550
HEALTH INSURANCE
Standards for review of claims, 735.544
HEALTH INSURANCE
Validation of claims, 735.548
HEALTH INSURANCE
Complaints, 735.533, 735.534
HEALTH INSURANCE
Definitions, 735.530, 735.534, 735.536, 735.537, 735.538, 735.540
HEALTH INSURANCE
Fees
HEALTH INSURANCE
Licensure, 735.532
HEALTH INSURANCE
Prohibitions on charging, 735.534, 735.536
HEALTH INSURANCE
Reports, amounts received, 735.537
HEALTH INSURANCE
Health care data reporting, 442.372, 442.373, 442.993
HEALTH INSURANCE
Licensure, 735.532, 735.533
HEALTH INSURANCE
Maximum allowable costs, 735.534
HEALTH INSURANCE
Oregon Prescription Drug Program, 414.312
HEALTH INSURANCE
Payments from manufacturers, reporting, 735.537
HEALTH INSURANCE
Pharmacy services administrative organizations, 735.538, 744.702
HEALTH INSURANCE
Reimbursements, 735.534, 735.536
HEALTH INSURANCE
Reports, 735.537, 735.538, 735.550
HEALTH INSURANCE
Rules, 735.532, 735.533, 735.534, 735.536
HEALTH INSURANCE
Sanctions, basis, 735.533
HEALTH INSURANCE
Pharmacy services administrative organizations, 735.538, 744.702