{"data":{"id":"us-or/ors-743b.445","jurisdiction":"us-or","citation":"ORS 743B.445","heading":"Application programming interface; requirements.","body":"(1) An insurer offering a health benefit plan in this state that provides utilization review or has utilization review provided on the insurer’s behalf shall utilize a prior authorization application programming interface as described in 45 C.F.R. 156.223(b), as in effect on February 28, 2024. The application programming interface shall enable a provider to:\n      (a) Determine whether prior authorization is required;\n      (b) Identify the information and documentation necessary to submit the request; and\n      (c) Transfer prior authorization requests and determinations from the provider’s electronic health records or practice management system through a secure electronic transmission.\n      (2) An insurer shall respond through the application programming interface described in subsection (1) of this section to a request that was submitted by a provider through the application programming interface.","path":["18 - Financial Institutions, Insurance","56. Insurance","Chapter 743B — Health Benefit Plans: Individual and Group"],"source_url":"https://www.oregonlegislature.gov/bills_laws/ors/ors743B.html","current_through":"2025 Edition","vintage":"","retrieved_at":"2026-09-03T23:50:17Z","sha256":"5b2117b3a532819ed2b0b66246dbd9f1cd702607ed1d096066ab6ae74b8142f8","source_id":"us-or","stale":false,"prev":"us-or/ors-743b.430","next":"us-or/ors-743b.450"},"notice":"GroundRules: Original legal text. Not legal advice."}