Ohio § 1753.16 Retroactively denying authorization

Ohio Statutes

§ 1753.16 — Retroactively denying authorization

Ohio § 1753.16

Title 17Corporations-Partnerships

Ch. 1753Physician-health Plan Partnership Act; Risk-based Capital For Insurers Model Act

This text of Ohio § 1753.16 (Retroactively denying authorization) is published on Counsel Stack Legal Research, covering Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ohio Rev. Code Ann. § 1753.16 (2026).

Text

A health insuring corporation or utilization review organization that authorizes a proposed admission, treatment, or health care service by a participating provider based upon the complete and accurate submission of all necessary information relative to an eligible enrollee shall not retroactively deny this authorization if the provider renders the health care service in good faith and pursuant to the authorization and all of the terms and conditions of the provider's contract with the health insuring corporation.

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A health insuring corporation or utilization review organization that authorizes a proposed admission, treatment, or health care service by a participating provider based upon the complete and accurate submission of all necessary information relative to an eligible enrollee shall not retroactively deny this authorization if the provider renders the health care service in good faith and pursuant to the authorization and all of the terms and conditions of the provider's contract with the health insuring corporation.