Ohio § 2317.45

§ 2317.45.

(A) As used in this section: (1) “ Health care provider ” means any person or entity against whom a medical claim may be asserted in a civil

action. (2) “ Insurer ” means any public or private entity doing or authorized to do any insurance business

in this state.  “ Insurer ” includes a self-insuring employer and the United States centers for medicare and

medicaid services. (3) “Medical claim” has the same meaning as in section 2305.113 of the Revised Code . (4) “ Reimbursement determination ” means an insurer's determination of whether the insurer will reimburse a health

care provider for health care services and the amount of that reimbursement. (5) “ Reimbursement policies ” means an insurer's policies and procedures governing its decisions regarding the

reimbursement of a health care provider for health care services and the method of

reimbursement. (B) Any insurer's reimbursement policies or reimbursement determination or regulations

issued by the United States centers for medicare and medicaid services or the Ohio

department of medicaid regarding the health care services provided to the patient

in any civil action based on a medical claim are not admissible as evidence for or

against any party in the action and may not be used to establish a standard of care

or breach of that standard of care in the action.