Other

Annual patient protection reports

Effective in 1998, Oregon adopted the "Patient Protection Act," which establishes broader consumer protection in the areas of disclosure to consumers, grievance procedures, emergency room claims, and prior authorizations.

It also requires annual reporting in  four areas: grievance statistics, utilization review procedures, quality assessment summaries, and scope of network summaries. 

Exempt from reporting

Companies not domiciled in Oregon with under $2 million in premium are not required to report. 



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About the reports

Forms

Grievance Annual Report
Word  | PDF
Quality Assessment Annual Summary
Word  | PDF
Network Adequacy Annual Summary
Word | PDF
Utilization Review Annual Summary
Word  | PDF​
Filing requirements

Questions?

ins.mrktsurv@state.or.us​​