Effective: April 6, 2007
Latest Legislation: House Bill 403 - 126th General Assembly
The superintendent of insurance shall develop a standard claim form to be used by all third-party payers and providers for reimbursement of health care services and supplies, taking into consideration the special needs of, and differences between, third-party payers. The standard claim form shall be prescribed in rules the superintendent shall adopt in accordance with Chapter 119. of the Revised Code. The superintendent may prescribe a separate claim form for each third-party payer. If a national standard claim form is established by the sickness and accident insurance industry, the superintendent shall amend the rules to comply with the national standards. The standard claim form shall include a method to specify the national provider identifiers assigned to the physical therapists and other health care professionals rendering services designated as physical therapy, as required under section 4755.56 of the Revised Code.
Structure Ohio Revised Code
Chapter 3902 | Insurance Policies and Contracts
Section 3902.01 | Purpose of Sections.
Section 3902.02 | Insurance Policy and Contract Definitions.
Section 3902.03 | Policies to Which Sections Apply - Exceptions - Non-English Language Policies.
Section 3902.04 | Requirements for Policy Forms.
Section 3902.05 | Construction.
Section 3902.06 | Superintendent May Authorize Lower Test Score.
Section 3902.07 | Approval of Policy Form Notwithstanding Provisions of Other Laws.
Section 3902.08 | Policy Forms Compliance Date.
Section 3902.11 | Coordination of Benefits Definitions.
Section 3902.12 | Primary or Secondary Health Coverage.
Section 3902.13 | Order of Benefits for Health Coverage Plan.
Section 3902.21 | Standard Claim Form Definitions.
Section 3902.22 | Superintendent to Develop Standard Claim Form.
Section 3902.23 | Use of Form Mandatory.
Section 3902.30 | Coverage for Telehealth Services.
Section 3902.31 | Void Contracts.
Section 3902.36 | Compliance With Federal Mental Health and Addiction Parity Laws.
Section 3902.50 | Definitions for r.c. 3902.50 to 3902.72.
Section 3902.51 | Out-of-Network Care Reimbursement Requirement, Negotiations.
Section 3902.52 | Out-of-Network Care Arbitration.
Section 3902.53 | Out-of-Network Care Rules, Prompt Pay Requirements, Violations.
Section 3902.54 | Out-of-Network Care Arbitrator Requirements.
Section 3902.60 | Advanced Cancer Fail First Drug Coverage Definitions.
Section 3902.61 | Advanced Cancer Fail First Drug Coverage Prohibitions.
Section 3902.62 | Coverage for Drugs Refilled Without a Prescription.
Section 3902.70 | Health Plan Issuer Contracts With 340b Program Participants Definitions.
Section 3902.71 | Health Plan Issuer Contracts With 340b Program Participants.
Section 3902.72 | Health Plan Issuer Disclosure of Drug Data.