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- ORS 743B.254 · Required statements regarding external reviews.
- ORS 743B.255 · Enrollee application for external review; when enrollee deemed to have exhausted internal appeal.
- ORS 743B.256 · Duties of independent review organizations; expedited reviews.
- ORS 743B.257 · Civil penalty for failure to comply by insurer that agreed to be bound by decision.
- ORS 743B.258 · Private right of action.
- ORS 743B.260 · Claims and appeals of adverse benefit determinations under disability income insurance policies; rules.
- ORS 743B.275 · Definitions for ORS 743B.275 to 743B.285.
- ORS 743B.277 · Credits to deductibles and out-of-pocket expenses; requirements; process.
- ORS 743B.280 · [Formerly 743B.871; renumbered 743B.275 in 2025]
- ORS 743B.281 · Estimate of costs for in-network procedure or service.
- ORS 743B.282 · Estimate of costs for out-of-network procedure or service.
- ORS 743B.283 · Submission of methodology used to determine insurer’s allowable charges.
- ORS 743B.284 · Alternative mechanism for disclosure of costs and charges.
- ORS 743B.285 · Rules.
- ORS 743B.287 · Balance billing prohibited for health care facility services.
- ORS 743B.288 · Balance billing prohibited for labor and delivery services rendered by out-of-network provider to which insured was diverted during public health emergency.
- ORS 743B.290 · Hospital payment of copayment or deductible for insured patient.
- ORS 743B.292 · Balance billing prohibited for ground ambulance services; health benefit plan reimbursement rate requirements; reporting and database of established local rate; rules; penalties.
- ORS 743B.300 · Disclosure of differences in replacement health insurance policies; nonduplication for persons 65 and older; rules.
- ORS 743B.310 · Rescinding coverage; permissible bases; notice; rules.
- ORS 743B.320 · Minimum grace period; notice upon termination of policy; effect of failure to notify.
- ORS 743B.321 · Applicability of ORS 743B.320.
- ORS 743B.323 · Separate notice to policyholder required before cancellation of individual or group health insurance policy for nonpayment of premium; rules.
- ORS 743B.324 · Rules for certain notice requirements.
- ORS 743B.330 · Notice to policyholder required for cancellation or nonrenewal of health benefit plan; effect of failure to give notice.
- ORS 743B.340 · When group health insurance policies to continue in effect upon payment of premium by insured individual.
- ORS 743B.341 · Continuation of benefits after termination of group health insurance policy; rules.
- ORS 743B.342 · Continuation of benefits after injury or illness covered by workers’ compensation.
- ORS 743B.343 · Availability of continued coverage under group policy for surviving, divorced or separated spouse 55 or older.
- ORS 743B.344 · Procedure for obtaining continuation of coverage under ORS 743B.343.
- ORS 743B.345 · Premium for continuation of coverage under ORS 743B.344; termination of right to continuation.
- ORS 743B.347 · Continuation of coverage under group policy upon termination of membership in group health insurance policy; applicability of waiting period to rehired employee.
- ORS 743B.400 · Decisions regarding health care facility length of stay, level of care and follow-up care.
- ORS 743B.403 · Insurer prohibited practices; patient communication and referral.
- ORS 743B.405 · Medical services contract provisions; nonprovider party prohibitions; future contracts.
- ORS 743B.406 · Vision care providers.
- ORS 743B.407 · Naturopathic physicians.
- ORS 743B.420 · Prior authorization requirements.
- ORS 743B.422 · Utilization review requirements for medical services contracts to which insurer not party; right to appeal.
- ORS 743B.423 · Utilization review requirements for insurers offering health benefit plan.
- ORS 743B.424 · Applicability.
- ORS 743B.425 · Prohibited restrictions on coverage of treatment for opioid or opiate withdrawal, post-exposure and preexposure prophylactic antiretroviral drugs and drugs for treatment of human immunodeficiency virus or acquired immunodeficiency syndrome; exceptions.
- ORS 743B.427 · Nonquantitative treatment limitations on coverage of behavioral health conditions; carrier reporting requirements; confidentiality; summary annually reported to legislative committees.
- ORS 743B.430 · Prohibited restrictions on prior authorization requirements for surgical procedures.
- ORS 743B.445 · Application programming interface; requirements.
- ORS 743B.450 · Prompt payment of claims; limits on use of electronic payment methods; rules.
- ORS 743B.451 · Refund of paid claims.
- ORS 743B.452 · Interest on unpaid claims.
- ORS 743B.453 · Underpayment of claims.
- ORS 743B.454 · Claims submitted during credentialing period.
- ORS 743B.456 · Limits on use of electronic payment methods for reimbursement of dental claims.
- ORS 743B.458 · Performance-based incentive payments for primary care.
- ORS 743B.460 · Conditions for restricting payments to only in-network providers.
- ORS 743B.462 · Direct payments to providers.
- ORS 743B.470 · Medicaid not considered in coverage eligibility determination; claims for services paid for by medical assistance; prohibited ground for denial of enrollment of child; insurer duties.
- ORS 743B.475 · Guidelines for coordination of benefits; rules.
- ORS 743B.500 · Selling and leasing of provider panels by contracting entity; definitions.
- ORS 743B.501 · Registration of contracting entity.
- ORS 743B.502 · Third party contracts for leasing of provider panels; requirements.
- ORS 743B.503 · Additional requirements for third party contracts.
- ORS 743B.504 · Third party contracts for dental care services.
- ORS 743B.505 · Provider networks; rules.
- ORS 743B.550 · Disclosure of information.
- ORS 743B.555 · Confidential communications.
- ORS 743B.601 · Synchronization of prescription drug refills.
- ORS 743B.602 · Step therapy.
- ORS 743B.603 · Out-of-pocket maximums, deductibles, copayments, coinsurance and cost-sharing.
- ORS 743B.607 · Nonopioid prescription drug coverage requirements.
- ORS 743B.610 · Clinician-administered drugs for treatment of cancer.
- ORS 743B.800 · Risk adjustment procedures; rules.
- ORS 743B.810 · Enrollees covered by workers’ compensation.
- ORS 744.001 · [1989 c.701 §§13,81g; 2001 c.191 §26; 2003 c.364 §117; 2007 c.71 §241; repealed by 2019 c.151 §46]
- ORS 744.002 · [1989 c.701 §§2,81e; 1995 c.639 §3; 2001 c.191 §27; repealed by 2019 c.151 §46]
- ORS 744.003 · [1989 c.701 §3; 2001 c.191 §28; repealed by 2019 c.151 §46]
- ORS 744.004 · [1989 c.701 §4; repealed by 2019 c.151 §46]
- ORS 744.005 · [1967 c.359 §525; repealed by 1989 c.701 §81]
- ORS 744.007 · [1989 c.701 §§5,81f; repealed by 2019 c.151 §46]
- ORS 744.008 · [1989 c.701 §§14,81h; 1991 c.810 §2; 2001 c.191 §29; repealed by 2019 c.151 §46]
- ORS 744.009 · [1989 c.701 §6; 2001 c.191 §30; repealed by 2019 c.151 §46]
- ORS 744.010 · [Repealed by 1967 c.359 §704]
- ORS 744.011 · [1989 c.701 §11; 1991 c.810 §3; 2001 c.191 §42; repealed by 2019 c.151 §46]
- ORS 744.012 · [1979 c.501 §1; 1989 c.701 §41; renumbered 744.240 in 1989]
- ORS 744.013 · [Formerly 744.255; 1991 c.810 §4; 1993 c.447 §84; 2001 c.191 §31; 2003 c.364 §118; 2003 c.576 §258; repealed by 2019 c.151 §46]
- ORS 744.014 · [Formerly 744.260; 2001 c.191 §32; repealed by 2019 c.151 §46]
- ORS 744.015 · [1967 c.359 §526; 1989 c.701 §22; renumbered 744.054 in 1989]
- ORS 744.016 · [Formerly 744.265; repealed by 2001 c.191 §61]
- ORS 744.017 · [1971 c.231 §8; 1989 c.701 §42; renumbered 744.245 in 1989]
- ORS 744.018 · [1989 c.701 §12; 2001 c.191 §43; repealed by 2019 c.151 §46]
- ORS 744.020 · [Repealed by 1967 c.359 §704]
- ORS 744.022 · [1989 c.701 §15; 2001 c.191 §33; repealed by 2019 c.151 §46]
- ORS 744.024 · [1989 c.701 §16; 2001 c.191 §34; repealed by 2019 c.151 §46]
- ORS 744.025 · [1967 c.359 §527; 1971 c.385 §6; 1979 c.501 §3; 1979 c.829 §9a; 1981 c.247 §18; 1983 c.464 §1; 1985 c.762 §188; 1989 c.701 §23; renumbered 744.057 in 1989]
- ORS 744.026 · [1989 c.701 §17; 1995 c.639 §4; 2001 c.191 §35; repealed by 2019 c.151 §46]
- ORS 744.028 · [1989 c.701 §18; 2001 c.191 §36; repealed by 2019 c.151 §46]
- ORS 744.030 · [Amended by 1965 c.610 §12; repealed by 1967 c.359 §704]
- ORS 744.031 · [1989 c.701 §19; 2001 c.191 §37; repealed by 2019 c.151 §46]
- ORS 744.033 · [1989 c.701 §20; 2001 c.191 §38; repealed by 2019 c.151 §46]
- ORS 744.035 · [1967 c.359 §528; 1985 c.697 §18; repealed by 1989 c.701 §81]
- ORS 744.037 · [1989 c.701 §7; 2001 c.191 §44; repealed by 2019 c.151 §46]
- ORS 744.039 · [1991 c.810 §22; 2001 c.191 §23; renumbered 744.077 in 2001]