Okla. Stat. tit. 36, § 36-6555: Rules - Forms - Issuance of certificate - Reporting

requirements - Confidentiality.

A. The Insurance Commissioner may promulgate and adopt rules to

implement the provisions of this section.

B. The Commissioner shall develop standardized forms for

registration, performing and implementing certification requirements

pursuant to the Hospital and Medical Services Utilization Review

Act.

C. The Commissioner shall issue a certificate to an applicant

that has met all the requirements of the Hospital and Medical

Services Utilization Review Act and applicable rules.

D. The Commissioner may establish reporting requirements to:

1. Evaluate, based upon the information furnished pursuant to

the provisions of this act, the effectiveness of private review

agents; and

2. Determine if the utilization review programs are in

compliance with the provisions of the Hospital and Medical Services

Utilization Review Act and applicable rules.

E. Any information required by the Commissioner with respect to

customers, patients or utilization review procedures of a private

review agent shall be held in confidence and shall not be disclosed

to the public. However, a patient or a person with financial

responsibility for a patient's bill shall be entitled to information

and documents relating to them and their claim.

F. A certificate issued pursuant to the Hospital and Medical

Services Utilization Review Act is not transferable.

G. No individual conducting utilization review shall be

required to be certified if such utilization review is performed

within the scope of such person's employment with an entity already

certified pursuant to the Hospital and Medical Services Review Act.