As used in this section and ORS § 442.373, ‘reporting entity’ means:

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Terms Used In Oregon Statutes 442.372

  • Contract: A legal written agreement that becomes binding when signed.
  • Person: includes individuals, corporations, associations, firms, partnerships, limited liability companies and joint stock companies. See Oregon Statutes 174.100
  • Statute: A law passed by a legislature.
  • United States: includes territories, outlying possessions and the District of Columbia. See Oregon Statutes 174.100

(1) An insurer as defined in ORS § 731.106 or fraternal benefit society as described in ORS § 748.106 required to have a certificate of authority to transact health insurance business in this state.

(2) A health care service contractor as defined in ORS § 750.005 that issues medical insurance in this state.

(3) A third party administrator required to obtain a license under ORS § 744.702.

(4) A pharmacy benefit manager or fiscal intermediary, or other person that is by statute, contract or agreement legally responsible for payment of a claim for a health care item or service.

(5) A coordinated care organization as defined in ORS § 414.025.

(6) An insurer providing coverage funded under Part A, Part B or Part D of Title XVIII of the Social Security Act, subject to approval by the United States Department of Health and Human Services. [Formerly 442.464]

 

442.372 and 442.373 were enacted into law by the Legislative Assembly but were not added to or made a part of ORS Chapter 442 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.