Effective: October 1, 1998
Latest Legislation: House Bill 361 - 122nd General Assembly
A health insuring corporation or utilization review organization that authorizes a proposed admission, treatment, or health care service by a participating provider based upon the complete and accurate submission of all necessary information relative to an eligible enrollee shall not retroactively deny this authorization if the provider renders the health care service in good faith and pursuant to the authorization and all of the terms and conditions of the provider's contract with the health insuring corporation.
Structure Ohio Revised Code
Title 17 | Corporations-Partnerships
Chapter 1753 | Physician-Health Plan Partnership Act; Risk-Based Capital for Insurers Model Act
Section 1753.01 | Physician-Health Plan Partnership Act Definitions.
Section 1753.06 | Notice of Status of the Provider's Application.
Section 1753.07 | Information Given to Provider.
Section 1753.09 | Terminating Participation of Provider.
Section 1753.10 | Categories of Providers.
Section 1753.13 | Obtaining Covered Obstetric and Gynecological Services Without Referral.
Section 1753.14 | Procedures for Standing Referrals to Specialists.
Section 1753.16 | Retroactively Denying Authorization.
Section 1753.21 | Prescription Drugs.
Section 1753.23 | Internal Technology Assessment Process.
Section 1753.28 | Emergency Services Coverage.
Section 1753.30 | Other Insurance Provisions.
Section 1753.31 | Risk-Based Capital for Insurers Model Act Definitions.
Section 1753.32 | Annual Report.
Section 1753.33 | Company Action Level Event.
Section 1753.34 | Regulatory Action Level Event.
Section 1753.35 | Authorized Control Level Event.
Section 1753.36 | Mandatory Control Level Event.
Section 1753.38 | Confidentiality.
Section 1753.39 | Foreign Health Insuring Corporation.
Section 1753.41 | When Notices Are Effective.
Section 1753.42 | Requirements for Exemption of Domestic Corporation.