Oregon § 743B.403 Insurer prohibited practices; patient communication and referral

Oregon Statutes

§ 743B.403 — Insurer prohibited practices; patient communication and referral

Oregon § 743B.403

Vol.18

Title 56Insurance

Ch. 743BHealth Benefit Plans: Individual and Group

This text of Oregon § 743B.403 (Insurer prohibited practices; patient communication and referral) 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. § 743B.403 (2026).

Text

No insurer may terminate or otherwise financially penalize a provider for:

(1)Providing information to or communicating with a patient in a manner that is not slanderous, defamatory or intentionally inaccurate concerning:

(a)Any aspect of the patient’s medical condition;

(b)Any proposed treatment or treatment alternatives, whether covered by the insurer’s health benefit plan or not; or

(c)The provider’s general financial arrangement with the insurer.

(2)(a) Referring a patient to another provider, whether or not that provider is under contract with the insurer. If a provider refers a patient to another provider, the referring provider shall:

(A)Comply with the insurer’s written policies and procedures with respect to any such referrals; and

(B)Inform the patient that the referral ser

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No insurer may terminate or otherwise financially penalize a provider for:
(1) Providing information to or communicating with a patient in a manner that is not slanderous, defamatory or intentionally inaccurate concerning:
(a) Any aspect of the patient’s medical condition;
(b) Any proposed treatment or treatment alternatives, whether covered by the insurer’s health benefit plan or not; or
(c) The provider’s general financial arrangement with the insurer.
(2)(a) Referring a patient to another provider, whether or not that provider is under contract with the insurer. If a provider refers a patient to another provider, the referring provider shall:
(A) Comply with the insurer’s written policies and procedures with respect to any such referrals; and
(B) Inform the patient that the referral services may not be covered by the insurer.
(b) Allocation of costs for referral services shall be a matter of contract between the provider and the insurer. Allocation of costs to the provider by contract shall not be considered a penalty under this section.