A third-party payer shall not do either of the following:
(A) Engage in any business practice that unfairly or unnecessarily delays the processing of a claim or the payment of any amount due for health care services rendered by a provider to a beneficiary;
(B) Refuse to process or pay within the time periods specified in section 3901.381 of the Revised Code a claim submitted by a provider on the grounds the beneficiary has not been discharged from the hospital or the treatment has not been completed, if the submitted claim covers services actually rendered and charges actually incurred over at least a thirty-day period.
Effective Date: 07-24-2002Section: Previous 3901.377 3901.378 3901.38 3901.381 3901.382 3901.383 3901.384 3901.385 3901.386 3901.387 3901.388 3901.389 3901.3810 3901.3811 3901.3812 Next
Last modified: October 10, 2016