§ 317:55-5-23

Okla. Admin. Code § 317:55-5-23

Timely claims filing and processing

Effective Sep 1, 202441 Ok Reg, Number 23Added at 39 Ok Reg 450, eff 12-21-21 (emergency); Added at 39 Ok Reg 1628, eff 9-12-22; Amended at 41 Ok Reg, Number 23, effective 9-1-24Oklahoma Health Care Authority

(a) Timely claims filing. The CE or DBM shall adjudicate provider claims in accordance with timely filing limits specified in OAC 317:30-3-11.
(b) Timely payment. The CE or DBM shall meet timely claims payment standards specified in the Contract and 42 C.F.R § 447.45.

Added at 39 Ok Reg 450, eff 12-21-21 (emergency)

Added at 39 Ok Reg 1628, eff 9-12-22

Amended at 41 Ok Reg, Number 23, effective 9-1-24