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§ 6556. Health insurance plans--Certification or contract with certified private review agent--...

Oklahoma Statutes AnnotatedTitle 36. Insurance

Oklahoma Statutes Annotated
Title 36. Insurance (Refs & Annos)
Chapter 2. Miscellaneous Provisions
Hospital and Medical Services Utilization Review Act
36 Okl.St.Ann. § 6556
§ 6556. Health insurance plans--Certification or contract with certified private review agent--Exceptions
Every health insurance plan which proposes to administer a health benefits program that provides for the coverage of hospital and/or medical benefits and the utilization review of those benefits shall:
1. Be certified in accordance with the Hospital and Medical Services Utilization Review Act; or
2. Contract with a private review agent who is certified in accordance with the Hospital and Medical Services Utilization Review Act.
The provisions of this section shall not apply to insurance companies and not-for-profit hospital services and medical indemnity plans, licensed by the Commissioner to transact insurance in this state, that perform in-house utilization review.

Credits

Laws 1991, c. 294, § 6, eff. Nov. 1, 1991.
36 Okl. St. Ann. § 6556, OK ST T. 36 § 6556
Current with emergency effective legislation through Chapter 257 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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