OAR 333-006-0160: Health Benefit Plans Reporting Requirements

For each calendar year, carriers shall report the following de-identified information to the Authority on an annual basis: (1) Number of enrollees who added a newborn to coverage under the carrier’s health benefit plans; (2) Number of enrollees reported under section (1) who, at the time the newborn was added to coverage, resided in an identified community where a certified provider was authorized to provide services; (3) Number of enrollees for whom the carrier paid claims for services from a certified provider; (4) Number of enrollees for whom the carrier paid claims for services from a certified provider on multiple dates of service; and (5) Any other claims data for services from a certified provider requested by the Authority.