Okla. Admin. Code § 365:40-5-130

Current through Vol. 42, No. 8, January 2, 2025

Section 365:40-5-130 - Terms of contracts

Contracts between HMOs and providers shall not include terms that:

(1) Exceed the maximum number of days established for reimbursement of claims pursuant to applicable provisions in Title 36 of the Oklahoma Statutes;

(2) Requires the provider to contact the HMO to inquire about the status of a claim; or

(3) Waive the provider's right to recover reasonable attorney fees, if such provider is the prevailing party in litigation, pursuant to applicable provisions in Title 36 of the Oklahoma Statutes.

Okla. Admin. Code § 365:40-5-130

Added at 21 Ok Reg 77, eff 11-1-03 (emergency); Added at 21 Ok Reg 1672, eff 7-14-04