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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 365. Insurance Department |
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Chapter 10. Life, Accident and Health |
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Subchapter 15. Utilization Review Regulations |
SECTION 365:10-15-7. In-house utilization review by insurance companies
Latest version.
- (a) Insurance Companies, not-for-profit hospital service or indemnity plans, and not-for-profit medical or indemnity plans which hold certificates of authority from the State of Oklahoma and which perform in-house utilization review shall be registered pursuant to subsection B.(b) Registration shall consist of completing the Insurance Commissioner's Utilization Review Certification and/or Registration Application Form and forwarding the same with all other information required by Okla. Stat. tit. 36, §6559 to the Insurance Commissioner for approval.(c) A $500.00 fee shall accompany the Utilization Review Certification and/or Registration Application Form.(d) Registration is complete upon approval by the Insurance Commissioner.(e) Insurance Companies, not-for-profit hospital service or indemnity plans, and not-for-profit medical or indemnity plans registered to perform in-house utilization review shall complete the Insurance Commissioner's Utilization Review Certification and/or Registration Annual Renewal Application each year and forward the same with all information requested therein to the Insurance Commissioner prior to or on the anniversary date. A $500 renewal fee shall accompany the Annual Renewal Application.