{"data":{"id":"us-ok/okla.-stat.-tit.-36-36-6570.6","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 36, § 36-6570.6","heading":"Time frame to make prior authorization or adverse","body":"determination.\n\nA. If a utilization review entity requires prior authorization\n\nof a health care service, the utilization review entity must make a\n\nprior authorization or adverse determination and notify the enrollee\n\nand the enrollee's health care provider of the prior authorization\n\nor adverse determination in accordance with the time frames set\n\nforth below:\n\n1. For purposes of approving prior authorization for urgent\n\nhealth care services, within seventy-two (72) hours of obtaining all\n\nnecessary information to make the prior authorization or adverse\n\ndetermination; or\n\n2. For purposes of approving prior authorization for non-urgent\n\nhealth care services, within seven (7) days of obtaining all\n\nnecessary information to make the prior authorization or adverse\n\ndetermination.\n\nFor purposes of this section, \"necessary information\" includes,\n\nbut is not limited to, the results of any face-to-face clinical\n\nevaluation or second opinion that may be required.\n\nB. For those health care providers that submit all necessary\n\ninformation through the utilization review entity's authorized prior\n\nauthorization system, health care services are deemed authorized if\n\na utilization review entity fails to comply with the deadlines set\n\nforth in this section.\n\nC. In the notification to the health care provider that a prior\n\nauthorization has been approved, the utilization review entity shall\n\ninclude in such notification the duration of the prior authorization\n\nor the date by which the prior authorization will expire.","path":["OK Code","Title 36"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os36.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"d93292a68f825792f65ea8af336dc83d23674120c04361cf777b9ff6a6b5b736","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-36-36-6570.59","next":"us-ok/okla.-stat.-tit.-36-36-6570.7"},"notice":"GroundRules: Original legal text. Not legal advice."}