SECTION 317:30-5-101. Coverage for adults

  Payment is made to certified laboratories for medically necessary services to adults as set forth in this Section.

(1)   Inpatient services.

(A)   Claims for inpatient anatomical pathology must be billed by the individual pathologist performing the examination.

(B)   Inpatient consultations by Pathologists are compensable. Claim form must include referring physician, diagnosis, and test(s) for which the consultation was requested.

(2)   Outpatient services. Payment is made for medically necessary outpatient services.

[Source: Added at 12 Ok Reg 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff 7-27-95; Amended at 14 Ok Reg 757, eff 1-24-97 (emergency); Amended at 14 Ok Reg 1792, eff 5-27-97; Amended at 14 Ok Reg 2394, eff 5-28-97 (emergency); Amended at 15 Ok Reg 1528, eff 5-11-98; Amended at 16 Ok Reg 3413, eff 7-1-99 (emergency); Amended at 17 Ok Reg 1204, eff 5-11-00]