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.
Source

Last accessed
Jun. 8, 2021