Oregon Statutes 414.072 – Prior authorization data and reports
(1) As used in this section, ‘coordinated care organization’ has the meaning given that term in ORS § 414.025.
Terms Used In Oregon Statutes 414.072
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
(2) The Oregon Health Authority shall compile and annually post to the authority’s website a report of the following information, in the aggregate, that was reported to the authority by coordinated care organizations regarding requests for prior authorization received by coordinated care organizations or risk-bearing entities acting for or in concert with coordinated care organizations:
(a) The number of requests received;
(b) The number of requests that were initially denied and the reasons for the denials, including, but not limited to, lack of medical necessity or incomplete requests; and
(c) The number of denials that were reversed on an appeal. [2021 c.154 § 1]
414.072 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS Chapter 414 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
[1971 c.188 § 2; 1991 c.66 § 14; 2009 c.595 § 277; renumbered 411.463 in 2009]