Okla. Stat. tit. 36, § 36-1219.3: Discounted reimbursement and disclosure of
Where this section sits in the code
- OK Code
- Title 36
reimbursement terms prohibited.
A. An insurer or third-party administrator shall not reimburse
a health care provider on a discounted fee basis for covered
services that are provided to an insured unless:
1. The insurer or third-party administrator has contracted with
either:
a. the health care provider, or
b. a preferred provider organization which has contracted
with the health care provider;
2. The health care provider has agreed to provide health care
services under the terms of the contract; and
3. The insurer or third-party administrator has agreed to
provide coverage for those health care services under an accident
and health insurance policy.
B. A party to a preferred provider contract, including a
contract with a preferred provider organization, may not sell,
lease, or otherwise transfer information regarding the payment or
reimbursement terms of the contract without the express authority
and prior adequate notification of the other contracting parties.
Collected 2026-09-14T18:32:36Z. Source file · JSON