Oklahoma Statutes
§ 36-6556 — Health insurance plans - Certification or contract with
Oklahoma·Title 36 Insurance
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.
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Legislative History
Added by Laws 1991, c. 294, § 6, eff. Nov. 1, 1991.
Nearby Sections
15
§ 36-1001
Judicial review.§ 36-101
Short title.§ 36-102
"Insurance" defined.§ 36-103
"Insurer" defined.§ 36-104
"Person" defined.§ 36-105
"Transacting" insurance.§ 36-107
"Board" defined.§ 36-108
"Insurance Department" defined.§ 36-109
Compliance required.§ 36-1100
Short title - Purpose and effect.§ 36-1100.1
Definitions.§ 36-1100.2
Authority to enter multistate agreements.