Ohio Revised Code Chapter 3963 - Health Care Contracts

• Section 3963.01 - Health Care Contracts Definitions.
  As used in this chapter: (A) "Affiliate" means any person or entity that has ownership or control of a contracting entity, is owned or...
• Section 3963.02 - Assignment Of Right Under Health Care Contracts.
  (A) (1) No contracting entity shall sell, rent, or give a third party the contracting entity's rights to a participating provider's services pursuant to...
• Section 3963.03 - Information Required In Contracts - Disclosure Form - Proposed Contracts.
  (A) Each health care contract shall include all of the following information: (1) (a) Information sufficient for the participating provider to determine the compensation...
• Section 3963.04 - Material Amendment To Contract.
  (A) (1) If an amendment to a health care contract is not a material amendment, the contracting entity shall provide the participating provider notice...
• Section 3963.05 - Standard Provider Credentialing Application - Form.
  (A) The department of insurance shall prescribe the credentialing application form used by the council for affordable quality healthcare (CAQH) in electronic or paper...
• Section 3963.06 - Notice Of Incomplete Form - Inconsistencies - Credentialing.
  (A) If a provider, upon the oral or written request of a contracting entity to submit a credentialing form, submits a credentialing form that...
• Section 3963.07 - Contents Of Remittance Notices.
  (A) All remittance notices sent by a payer, whether written or electronic, shall include both of the following: (1) The name of the payer...
• Section 3963.08 - Adoption Of Implementing Rules.
  (A) All remittance notices sent by a payer, whether written or electronic, shall include both of the following: (1) The name of the payer...
• Section 3963.09 - Unfair And Deceptive Practices - Market Conduct Examination.
  (A) A series of violations of this chapter by any person regulated by the department of insurance under Title XVII or Title XXXIX of...
• Section 3963.10 - Application Of Chapter.
  This chapter does not apply with respect to any of the following: (A) A contract or provider agreement between a provider and the state...
• Section 3963.11 - Prohibited Conduct By Contracting Entities.
  (A) No contracting entity shall do any of the following: (1) Offer to a provider a health care contract that includes a most favored...

Last modified: October 10, 2016