§ 743B.450 Prompt payment of claims; limits on use of electronic payment methods; rules
§ 743B.451 Refund of paid claims
§ 743B.452 Interest on unpaid claims
§ 743B.453 Underpayment of claims
§ 743B.454 Claims submitted during credentialing period
§ 743B.456 Limits on use of electronic payment methods for reimbursement of dental claims
§ 743B.458 Performance-based incentive payments for primary care
§ 743B.460 Conditions for restricting payments to only in-network providers
§ 743B.462 Direct payments to providers
§ 743B.470 Medicaid not considered in coverage eligibility determination; claims for services paid for by medical assistance; prohibited ground for denial of enrollment of child; insurer duties
§ 743B.475 Guidelines for coordination of benefits; rules
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Terms Used In Oregon Statutes > Chapter 743B > Payment of Claims

  • Any other state: includes any state and the District of Columbia. See Oregon Statutes 174.100
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • Dependent: A person dependent for support upon another.
  • Electronic funds transfer: The transfer of money between accounts by consumer electronic systems-such as automated teller machines (ATMs) and electronic payment of bills-rather than by check or cash. (Wire transfers, checks, drafts, and paper instruments do not fall into this category.) Source: OCC
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • 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