Ohio Revised Code § 3901.385 - Third-party Payer - Prohibited Acts.

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: 07-24-2002

Section: 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