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Ohio · Through 2002-07-24 (Senate Bill 4 - 124th General Assembly)

Ohio Rev. Code § 3901.386: Reimbursement contract - reimbursements to be made directly to hospital - assignment of benefits.

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Where this section sits in the code
  1. Title 39 Insurance
  2. Chapter 3901 Superintendent Of Insurance

(A) Notwithstanding section 1751.13 or division (I)(2) of section 3923.04 of the Revised Code, a reimbursement contract entered into or renewed on or after June 29, 1988, between a third-party payer and a hospital shall provide that reimbursement for any service provided by a hospital pursuant to a reimbursement contract and covered under a benefits contract shall be made directly to the hospital.

(B) If the third-party payer and the hospital have not entered into a contract regarding the provision and reimbursement of covered services, the third-party payer shall accept and honor a completed and validly executed assignment of benefits with a hospital by a beneficiary, except when the third-party payer has notified the hospital in writing of the conditions under which the third-party payer will not accept and honor an assignment of benefits. Such notice shall be made annually.

(C) A third-party payer may not refuse to accept and honor a validly executed assignment of benefits with a hospital pursuant to division (B) of this section for medically necessary hospital services provided on an emergency basis.

Collected 2026-09-14T19:24:35Z. Source file · JSON

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