2011 Oregon Revised Statutes
ORS Volume 11, Chapters 431 - 470
ORS Chapter 442
442.464 Definitions for ORS 442.464 and 442.466.


OR Rev Stat § 442.464 (through Leg Sess 2011) What's This?

As used in this section and ORS 442.466, reporting entity means:

(1) An insurer as defined in ORS 731.106 or fraternal benefit society as described in ORS 748.106 required to have a certificate of authority to transact health insurance business in this state.

(2) A health care service contractor as defined in ORS 750.005 that issues medical insurance in this state.

(3) A third party administrator required to obtain a license under ORS 744.702.

(4) A pharmacy benefit manager or fiscal intermediary, or other person that is by statute, contract or agreement legally responsible for payment of a claim for a health care item or service.

(5) A coordinated care organization as defined in ORS 414.025.

(6) An insurer providing coverage funded under Part A, Part B or Part D of Title XVIII of the Social Security Act, subject to approval by the United States Department of Health and Human Services. [2009 c.595 1200; 2011 c.602 54]

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