Okla. Stat. tit. 36, § 36-6475.17: Description of external review procedures

A. 1. Each health carrier shall include a description of the

external review procedures in or attached to the policy,

certificate, membership booklet, outline of coverage or other

evidence of coverage it provides to covered persons.

2. The disclosure required by paragraph 1 of this subsection

shall be in a format prescribed by the Insurance Commissioner.

B. The description required under subsection A of this section

shall include a statement that informs the covered person of the

right of the covered person to file a request for an external review

of an adverse determination or final adverse determination with the

Commissioner. The statement shall explain that external review is

available when the adverse determination or final adverse

determination involves an issue of medical necessity,

appropriateness, health care setting, level of care or

effectiveness. The statement shall include the telephone number and

address of the Commissioner.

C. In addition to subsection B of this section, the statement

shall inform the covered person that, when filing a request for an

external review, the covered person will be required to authorize

the release of any medical records of the covered person that may be

required to be reviewed for the purpose of reaching a decision on

the external review.