Okla. Admin. Code § 365:10-15-7

Current through Vol. 42, No. 7, December 16, 2024

Section 365:10-15-7 - In-house utilization review by insurance companies

(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.

Okla. Admin. Code § 365:10-15-7

Added at 14 Ok Reg 2957, eff 7-14-97