Or. Admin. Code § 333-006-0160 - Health Benefit Plans Reporting Requirements

For each calendar year,carriers shall report the following de-identified information to the Authority on an annual basis:

(1) Number of enrollees who added a newborn to coverage under the carrier's health benefit plans;

(2) Number of enrollees reported under section (1) who, at the time the newborn was added to coverage, resided in an identified community where a certified provider was authorized to provide services;

(3) Number of enrollees for whom the carrier paid claims for services from a certified provider;

(4) Number of enrollees for whom the carrier paid claims for services from a certified provider on multiple dates of service; and

(5) Any other claims data for services from a certified provider requested by the Authority.

Notes

Or. Admin. Code § 333-006-0160

PH 75-2020, adopt filed 10/27/2020, effective 10/27/2020

Statutory/Other Authority: ORS 413.042, ORS 433.301 & ORS 743A.078

Statutes/Other Implemented: ORS 433.301 & ORS 743A.078