2013 Oregon Revised Statutes
Volume : 16 - Financial Institutions, Insurance
Chapter 743 - Health and Life Insurance
Section 743.921 - Payment of ambulatory surgical center claims.


OR Rev Stat § 743.921 (2013) What's This?

(1) As used in this section, "ambulatory surgical center" has the meaning given that term in ORS 442.015.

(2) An insurer or a third party administrator for a self-insured plan shall reimburse an out-of-network ambulatory surgical center for a service covered under a policy or certificate of health insurance by:

(a) Paying the center directly; or

(b) Issuing a check made payable to both the center and to the insured or beneficiary who received the service or, if the insured or beneficiary who received the service is a dependent, to the policyholder or certificate holder.

(3) The insurer or administrator shall pay the center the reimbursement amount allowed under the terms of the policy or certificate. [2013 c.534 §6]

Note: 743.921 was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743 or any series therein. See Preface to Oregon Revised Statutes for further explanation.

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