Oregon Oregon Health Authority, Public Health Division
Rule
Rule
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.