SECTION 310:657-3-3. Provider review process

Latest version.

(a)   A provider who is subject to credentialing shall have the right to review all credentialing information obtained by the Plan, and to review the credentialing procedures.
(b)   The Plan shall advise the provider of any information that does not meet the Plan's credentialing standards.
(c)   Each Plan shall have an appeal process by which a provider may submit additional information and request further review.

[Source: Added at 12 Ok Reg 2977, eff 6-16-95 (emergency); Added at 13 Ok Reg 2127, eff 6-13-96; Amended at 23 Ok Reg 2404, eff 6-25-06]

                    
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