Okla. Admin. Code § 317:55-5-23

Current through Vol. 42, No. 4, November 1, 2024

Section 317:55-5-23 - Timely claims filing and processing

(A)Timely claims filing. The CE or DBM shall adjudicate provider claims in accordance with timely filing limits specified in OAC 317:30-3-11.

(B)Timely payment. The CE or DBM shall meet timely claims payment standards specified in the Contract and 42 C.F.R § 447.45.

Adopted by Oklahoma Register, Volume 39, Issue 10, February 1, 2022, eff. 12/21/2021

Adopted by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/12/2022

Amended by Oklahoma Register, Volume 40, Issue 16, May 1, 2023, eff. 7/1/2023

Amended by Oklahoma Register, Volume 41, Issue 23, August 15, 2024, eff. 9/1/2024