Section 3901.385 | Third-party payer - prohibited acts.

• Effective: July 24, 2002
• Latest Legislation: Senate Bill 4 - 124th General Assembly

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.

Available Versions of this Section

• July 24, 2002 – Senate Bill 4 - 124th General Assembly