- (a) Upon the request of the Insurance Commissioner and in a time frame as specified by the Insurance Commissioner, HMOs shall file with the Department a periodic report on compliance with provisions in Titles 36 of the Oklahoma Statutes and this Part regarding reimbursement of claims within certain time periods.
- (b) Each report shall be accompanied by a statement signed by a member of the Board of Directors or executive management attesting to the accuracy of the report.
- (c) Any HMO that delegates any claim payment functions shall require the delegated entity or entities to prepare the required report for claims the entity processes including the required attestation.
- (d) Each HMO shall collect and submit all required report(s) as a complete package.
- (e) These reports shall be in such form and context as directed by the Department.
Added at 21 Ok Reg 77, eff 11-1-03 (emergency)
Added at 21 Ok Reg 1672, eff 7-14-04