Insurance Company Annual
Patient Protection Reports for 2004
By law, health insurers in Oregon are required to file an annual Grievance Report on their ability to promptly resolve consumer complaints.
Those insurers that require preauthorization for treatment are required to file an annual Utilization Review Report.
In addition to those two reports, Managed Care Organizations are also required to file:
- an annual Network Adequacy Report on the scope of their provider network, and
- an annual Quality Assessment Report on their ability to identify and achieve relevant quality improvement goals
If there are no changes from the previous year's report, a company may choose not to complete the annual report, but instead state that the data are the same as the previous year's report. They
may do this two years in a row, but at least every third year a company must submit a complete report.