HB2056

Oklahoma HB2056 amends dental insurance claims procedures, requiring appeal processes for denied claims and defining covered services.

Oklahoma HB2056 modifies the definition of dental plans and establishes procedures for handling dental insurance claims. It mandates that health benefit plans or dental plans create and maintain appeal processes for claims denied due to lack of medical necessity. The bill specifies that any denial must be based on a determination by a licensed dentist. Additionally, it requires written communications about claim denials to include specific details about the dentist who reviewed the claim. The act becomes effective November 1, 2025.