{"data":{"id":"us-ok/okla.-stat.-tit.-36-36-6570.8","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 36, § 36-6570.8","heading":"Time frame in which prior authorization may not be","body":"altered — Contracted payment rate requirement and exceptions.\n\nA. A health benefit plan may not revoke, limit, condition, or\n\nrestrict a prior authorization if care is provided within forty-five\n\n(45) business days from the date the health care provider received\n\nthe prior authorization unless the enrollee was no longer eligible\n\nfor care on the day care was provided.\n\nB. A health benefit plan must pay a contracted health care\n\nprovider at the contracted payment rate for a health care service\n\nprovided by the health care provider per a prior authorization,\n\nunless:\n\n1. The health care provider knowingly and materially\n\nmisrepresented the health care service in the prior authorization\n\nrequest with the specific intent to deceive and obtain an unlawful\n\npayment from a utilization review entity;\n\n2. The health care service was no longer a covered benefit on\n\nthe day it was provided;\n\n3. The health care provider was no longer contracted with the\n\npatient's health benefit plan on the date the care was provided;\n\n4. The health care provider failed to meet the utilization\n\nreview entity's timely filing requirements; or\n\n5. The patient was no longer eligible for health care coverage\n\non the day the care was provided.","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":"8b3d65ed588696fae2cadcb69d8537eb12cf49b6085558b74cdfbd1b81724b3e","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-36-36-6570.7","next":"us-ok/okla.-stat.-tit.-36-36-6570.9"},"notice":"GroundRules: Original legal text. Not legal advice."}