Ohio § 3901.385 Third-party payer - prohibited acts

Ohio Statutes

§ 3901.385 — Third-party payer - prohibited acts

Ohio § 3901.385

Title 39Insurance

Ch. 3901Superintendent Of Insurance

This text of Ohio § 3901.385 (Third-party payer - prohibited acts) 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. § 3901.385 (2026).

Text

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 section3901.381of 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.

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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 section3901.381of 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.