(1) Preclude an entity from instituting an action for fraud against a pharmacy;
(2) Apply to an audit of pharmacy records when fraud or other intentional and willful misrepresentation is evidenced by physical review, review of claims data or statements or other investigative methods; or
(3) Apply to a state agency that is conducting audits or a person that has contracted with a state agency to conduct audits of pharmacy records for prescription drugs paid for by the state medical assistance program. [2013 c.570 §10]
Note: See note under 735.530.
Structure 2021 Oregon Revised Statutes
Volume : 18 - Financial Institutions, Insurance
Chapter 735 - Alternative Insurance
Section 735.005 - Definitions for ORS 735.005 to 735.145.
Section 735.065 - Required association functions; assessments.
Section 735.075 - Discretionary association functions.
Section 735.095 - Contents of plan of operation.
Section 735.150 - Definitions for ORS 735.150 to 735.190.
Section 735.152 - Application of laws.
Section 735.156 - Confidentiality of documents and materials; public disclosure.
Section 735.160 - Business name.
Section 735.166 - Investment requirements for association captive insurer.
Section 735.170 - Rating organization.
Section 735.174 - Examination; frequency; scope; payment of expenses.
Section 735.176 - Compliance with sound actuarial principles.
Section 735.178 - Suspension or revocation of certificate of authority.
Section 735.180 - Branch captive insurer as pure captive insurer; rules.
Section 735.184 - Requirements for foreign captive insurer to provide insurance in this state.
Section 735.186 - Management of assets of captive reinsurer.
Section 735.188 - Application of captive reinsurer for certificate of authority.
Section 735.190 - Incorporation of captive reinsurer.
Section 735.200 - Legislative findings; purpose.
Section 735.205 - Definitions for ORS 735.200 to 735.260.
Section 735.210 - Formation of market assistance plans; rules.
Section 735.215 - Findings prior to formation of joint underwriting association; hearing.
Section 735.245 - Conditions for policyholder surcharge.
Section 735.265 - Liquor liability insurance risk and rate classifications; rules.
Section 735.305 - Definitions for ORS 735.300 to 735.365.
Section 735.320 - Relationship to insurance guaranty fund and joint underwriting association.
Section 735.330 - Purchasing groups; notice of intent to do business; registration; exceptions.
Section 735.400 - Purposes of ORS 735.400 to 735.495.
Section 735.405 - Definitions for ORS 735.400 to 735.495.
Section 735.410 - Conditions for procuring insurance through nonadmitted insurer; rules.
Section 735.415 - Qualifications for placement of coverage with nonadmitted insurer.
Section 735.420 - Declaration of ineligibility of surplus lines insurer.
Section 735.425 - Filing by licensee after placement of surplus lines insurance.
Section 735.430 - Surplus Line Association of Oregon; fees.
Section 735.455 - Authority of licensee; rules.
Section 735.460 - Records of licensee; examination.
Section 735.465 - Monthly reports; rules.
Section 735.470 - Premium tax; collection; payment; refund; rules.
Section 735.480 - Suspension or revocation of license; refusal to renew; grounds.
Section 735.485 - Actions against surplus lines insurer.
Section 735.495 - Short title; severability.
Section 735.500 - Requirements for certification as retainer medical practice; disclosures; rules.
Section 735.510 - Notice to department of specified changes to practice.
Section 735.515 - Charges for services not covered by contract.
Section 735.530 - Definitions for ORS 735.530 to 735.552.
Section 735.532 - Registration of pharmacy benefit managers; fees; rules.
Section 735.534 - Claim reimbursement; maximum allowable costs; documentation; rules.
Section 735.540 - Definitions for ORS 735.540 to 735.552.
Section 735.542 - Pharmacy claims audits; requirements.
Section 735.544 - Pharmacy claims audits; standards for review of claims.
Section 735.546 - Pharmacy claims audits; auditors.
Section 735.548 - Pharmacy claims audits; validation of claims.
Section 735.552 - Pharmacy claims audits; exception for fraud.