As used in this section and ORS 442.373, “reporting entity” means:

1. (1) An insurer as defined in ORS 731.106 or fraternal benefit society as described in ORS 748.106 required to have a certificate of authority to transact health insurance business in this state.
2. (2) A health care service contractor as defined in ORS 750.005 that issues medical insurance in this state.
3. (3) A third party administrator required to obtain a license under ORS 744.702.
4. (4) A pharmacy benefit manager or fiscal intermediary, or other person that is by statute, contract or agreement legally responsible for payment of a claim for a health care item or service.
5. (5) A coordinated care organization as defined in ORS 414.025.
6. (6) An insurer providing coverage funded under Part A, Part B or Part D of Title XVIII of the Social Security Act, subject to approval by the United States Department of Health and Human Services.

Note: 442.372 and 442.373 were enacted into law by the Legislative Assembly but were not added to or made a part of ORS chapter 442 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

[Formerly 442.464]