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Okla. Stat. tit. 36, § 6556

Health insurance plans - Certification or contract with certified private review agent - Exceptions

Added by Laws 1991, c. 294, § 6, eff

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.

Official source: Oklahoma Legislature. Reproduced from public-domain Oklahoma statutes; confirm against the official source for the current text. Not legal advice.