Okla. Stat. tit. 36 § 6556

Current through Laws 2024, c. 453.

Section 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.

Okla. Stat. tit. 36, § 6556

Added by Laws 1991, HB 1559, c. 294, § 6, eff. 11/1/1991.