Or. Admin. Code § 836-053-1080

Current through Register Vol. 64, No. 1, January 1, 2025

Section 836-053-1080 - Tracking Grievances and Prior Authorization Requests

An insurer must record data relating to all grievances, significant actions taken from each initial grievance filing through the appeals process, applications for external review as required by ORS 743B.250, and prior authorization requests in a manner sufficient for the insurer to report specified data on grievances and prior authorization accurately as required by ORS 743B.250 and OAR 836-053-1070, and for the insurer to track individual files in response to a market conduct examination or other inquiry by the director of the Department of Consumer and Business Services under ORS 731.296 or OAR 836-080-0215.

Or. Admin. Code § 836-053-1080

ID 1-1998, f. & cert. ef. 1-15-98; ID 15-2010, f. & cert. 8-19-10; ID 23-2011, f. & cert. ef. 12-19-11; ID 12-2013, f. 12-31-13, cert. ef. 1-1-14; ID 10-2021, amend filed 12/14/2021, effective 1/1/2022

Statutory/Other Authority: ORS 743B.250, ORS 743B.420, ORS 743B.422, ORS 743B.423, ORS 746.233 & Or Laws 2021, ch 154

Statutes/Other Implemented: ORS 743B.250, ORS 743B.420, ORS 743B.422, ORS 743B.423, ORS 746.233 & Or Laws 2021, ch 154