OAR 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.

Source: Rule 333-006-0160 — Health Benefit Plans Reporting Requirements, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-006-0160 (accessed May 26, 2025).

Verified

May 26, 2025

Rule 333-006-0160’s source at or​.us