OKL LEG Health Provider Credentials


On Apr. 25, OKL LEG passed bill for plan to notify of denials in writing.


  • OKL LEG passed Senate bill SB 1631 re denial of credential/recredential to a provider.
  • Amend OKL INS 36-4405.1 (health benefit plan, provider credentialing, recredentials).
  • Key Bill Provisions
  • Require health benefit plan to notify an applicant in writing when the credentialing or recredential is denied, provide reason for denial, corrective action applicant may take.
  • Gives 10 calendar days for applicant to take action before application formally denied.
  • Legislative History
  • On Feb 5, 2024, bill introduced in Senate; on Mar. 5, 2024, bill passed in the Senate.
  • On Mar. 6, 2024, bill introduced in the House; on Apr. 24, 2024, bill passed in House.
  • On Apr. 25, 2024, bill was delivered to the governor; pending governor review.
  • Effectiveness
  • Upon approval, SB 1631 on provider credentialing becomes effective Nov. 1, 2024.
  • Apr. 2024 OKL Governor Approval
  • On Apr. 30, 2024, OKL LEG reported governor approved SB 1631, effective Nov. 1.

Regulators OKL LEG
Entity Types Ins
Reference Bill, 4/30/2024; Bill, SB1631, 4/25/2024; Citation: OKL INS 36;
Functions Compliance; Legal; Operations; Registration/Licensing; Reporting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 4/25/2024
Effective Date 11/1/2024
Rule Id 210082
Linked to N/A
Reg. Last Update 4/30/2024
Report Section US Insurance

Last substantive update on 05/06/2024