Regulatory Alerts2007-01-01 | Bulletin 2007-1Bulletin 2007-1: Reporting Requirements for Prompt Payment of Claims Under ORS 743.866
The Oregon Insurance Division issued Bulletin 2007-1 to correct noncompliance with OAR 836-080-0085 regarding the reporting of prompt payment data for health benefit plans. The bulletin mandates that insurers submit data by March 1 annually, including only claims disposed of after 30 days and specific dates for information requests, while excluding non-health plans and out-of-state providers. Additionally, insurers must submit sample file reports within 60 days of selection and exclude credits or adjustments from their claim data to ensure accurate measurement of claim processing responsiveness.
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