(A) As used in this section, “health benefit plan,” “health plan issuer,” and “health care services” have the same meanings as in section 3922.01 of the Revised Code.

Terms Used In Ohio Code 3727.80

  • Hospital: means an institution classified as a hospital under section 3701. See Ohio Code 3727.01
  • in writing: includes any representation of words, letters, symbols, or figures; this provision does not affect any law relating to signatures. See Ohio Code 1.59
  • Person: includes an individual, corporation, business trust, estate, trust, partnership, and association. See Ohio Code 1.59

(B) If a patient is admitted to a hospital for inpatient health care services and the hospital is informed at the time of admission that the person is covered by a health benefit plan, the hospital shall notify the health plan issuer of the admission within forty-eight hours of the patient being admitted.

(C) If a patient is admitted to a hospital for inpatient health care services prior to the hospital being informed that the patient is covered by a health benefit plan, the hospital shall notify the health plan issuer within forty-eight hours of being informed the patient is covered by the health plan issuer.

(D) A hospital shall be considered to have been informed that a patient is covered by a health benefit plan upon being provided with an identification card that provides the health plan issuer’s contact information or other information sufficient for the hospital to contact the health plan issuer and confirm coverage.

(E) The notice required under divisions (B) and (C) of this section shall be made in writing and may be provided through a secure electronic transmission by the hospital to the health plan issuer or, if written notice is not possible, then the notice shall be made by telephonic communication.

Last updated September 9, 2021 at 1:01 PM