Ohio § 1753.07
Full text of Ohio Ohio Revised Code § 1753.07, with citation guidance and answers to common questions.
§ 1753.07.
(A)(1) Prior to entering into a participation contract with a provider under section 1751.13 of the Revised Code , a health insuring corporation shall disclose basic information regarding its programs
and procedures to the provider. The information shall include all of the following: (a) How a participating provider is reimbursed for the participating provider's services,
including the range and structure of any financial risk sharing arrangements, a description
of any incentive plans, and, if reimbursed according to a type of fee-for-service
arrangement, the level of reimbursement for the participating provider's services; (b) Insofar as division (A)(1) of section 3963.03 of the Revised Code is applicable, all of the information that is described in that division and is not
included in division (A)(1)(a) of this section. (2) Prior to entering into a participation contract with a provider under section 1751.13 of the Revised Code , a health insuring corporation shall disclose the following information upon the
provider's request: (a) How referrals to other participating providers or to nonparticipating providers are
made; (b) The availability of dispute resolution procedures and the potential for cost to be
incurred; (c) How a participating provider's name and address will be used in marketing materials. (B) A health insuring corporation shall provide all of the following to a participating
provider: (1) Any material incorporated by reference into the participation contract, that is not
otherwise available as a public record, if such material affects the participating
provider; (2) Administrative manuals related to provider participation, if any; (3) Insofar as division (B) of section 3963.03 of the Revised Code is applicable, the summary disclosure form with the disclosures required under that
division; (4) A signed and dated copy of the final participation contract. (C) Nothing in this section requires a health insuring corporation providing specialty
health care services or supplemental health care services to disclose the health insuring
corporation's aggregate maximum allowable fee table used to determine providers' fees
or fee schedules.
Frequently Asked Questions About Ohio § 1753.07
What does Ohio Revised Code § 1753.07 cover?
Section 1753.07 is part of the Ohio Revised Code, the codified statutory law of Ohio. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Ohio § 1753.07?
A common citation format is "Ohio Revised Code § 1753.07" (Ohio). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Ohio law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Ohio official source linked on this page or consult a licensed Ohio attorney.
How does Ohio § 1753.07 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Ohio can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Ohio.