Oregon Administrative Rules
Chapter 836 - DEPARTMENT OF CONSUMER AND BUSINESS SERVICES, INSURANCE REGULATION
Division 53 - HEALTH BENEFIT PLANS
Section 836-053-1080 - Tracking Grievances and Prior Authorization Requests

Universal Citation: OR Admin Rules 836-053-1080
Current through Register Vol. 63, No. 9, September 1, 2024

An insurer must record data relating to all grievances, significant actions taken from each initial grievance filing through the appeals process, applications for external review as required by ORS 743B.250, and prior authorization requests in a manner sufficient for the insurer to report specified data on grievances and prior authorization accurately as required by ORS 743B.250 and OAR 836-053-1070, and for the insurer to track individual files in response to a market conduct examination or other inquiry by the director of the Department of Consumer and Business Services under ORS 731.296 or OAR 836-080-0215.

Statutory/Other Authority: ORS 743B.250, ORS 743B.420, ORS 743B.422, ORS 743B.423, ORS 746.233 & Or Laws 2021, ch 154

Statutes/Other Implemented: ORS 743B.250, ORS 743B.420, ORS 743B.422, ORS 743B.423, ORS 746.233 & Or Laws 2021, ch 154

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