Ohio Code 3963.07 – Contents of remittance notices
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(A) All remittance notices sent by a payer, whether written or electronic, shall include both of the following:
Terms Used In Ohio Code 3963.07
- Contracting entity: means any person that has a primary business purpose of contracting with participating providers for the delivery of health care services. See Ohio Code 3963.01
- Participating provider: means a provider that has a health care contract with a contracting entity and is entitled to reimbursement for health care services rendered to an enrollee under the health care contract. See Ohio Code 3963.01
- Payer: means any person that assumes the financial risk for the payment of claims under a health care contract or the reimbursement for health care services provided to enrollees by participating providers pursuant to a health care contract. See Ohio Code 3963.01
(1) The name of the payer issuing the payment to the participating provider;
(2) The name of the contracting entity through which the payment rate and any discount are claimed, if the contracting entity is different from the payer.
(B) Division (A) of this section takes effect March 31, 2009.