Oregon § 735.548 Pharmacy claims audits; validation of claims

Oregon Statutes

§ 735.548 — Pharmacy claims audits; validation of claims

Oregon § 735.548

Vol.18

Title 56Insurance

Ch. 735Alternative Insurance

This text of Oregon § 735.548 (Pharmacy claims audits; validation of claims) is published on Counsel Stack Legal Research, covering Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Or. Rev. Stat. § 735.548 (2026).

Text

For purposes of ORS 735.540 to 735.552, an entity, or an independent third party that contracts with an entity to conduct audits, must allow as evidence of validation of a claim:

(1)An electronic or physical copy of a prescription that complies with ORS chapter 689 if the prescribed drug was, within 14 days of the dispensing date:

(a)Picked up by the patient or the patient’s designee;

(b)Delivered by the pharmacy to the patient; or

(c)Sent by the pharmacy to the patient using the United States Postal Service or other common carrier;

(2)Point of sale electronic register data showing purchase of the prescribed drug, medical supply or service by the patient or the patient’s designee; or

(3)Electronic records, including electronic beneficiary signature logs, electronically scanned and st

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For purposes of ORS 735.540 to 735.552, an entity, or an independent third party that contracts with an entity to conduct audits, must allow as evidence of validation of a claim:
(1) An electronic or physical copy of a prescription that complies with ORS chapter 689 if the prescribed drug was, within 14 days of the dispensing date:
(a) Picked up by the patient or the patient’s designee;
(b) Delivered by the pharmacy to the patient; or
(c) Sent by the pharmacy to the patient using the United States Postal Service or other common carrier;
(2) Point of sale electronic register data showing purchase of the prescribed drug, medical supply or service by the patient or the patient’s designee; or
(3) Electronic records, including electronic beneficiary signature logs, electronically scanned and stored patient records maintained at or accessible to the audited pharmacy’s central operations and any other reasonably clear and accurate electronic documentation that corresponds to a claim.