§ 6571. Determination of average area or customary and reasonable charges--Disclosure to health...
Oklahoma Statutes AnnotatedTitle 36. Insurance
36 Okl.St.Ann. § 6571
§ 6571. Determination of average area or customary and reasonable charges--Disclosure to health care provider of information used
shall, upon the request of a health care provider, furnish the name, mailing address and telephone number of the party making the determination to the health care provider.
C. Upon the request of the health care provider, the party shall furnish, for a reasonable charge, information used to determine the average area charges or customary and reasonable charges for the services, procedures or supplies provided by the health care provider and authorized for payment pursuant to paragraph 2 of subsection B of this section. The information shall include the rationale and documentation of sources used in the determination of the average area charges or customary and reasonable charges for the services, procedures or supplies in question, including names, mailing addresses and telephone numbers of sources if available. Such information shall be furnished to the health care provider no later than ten (10) working days after the request for information by the health care provider.
2. Noncompliance shall be reported to the Insurance Commissioner who, upon investigation of the complaint and determination that the party is in noncompliance and that no resolution of the complaint will be made within a reasonable time, shall compile and maintain a list of parties which are not in compliance with the provisions of this section.
Credits
Laws 1992, c. 297, § 1, eff. Sept. 1, 1992.
36 Okl. St. Ann. § 6571, OK ST T. 36 § 6571
Current with emergency effective legislation through Chapter 106 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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