HB4329

Oklahoma HB4329 amends dental insurance claims procedures, requiring specific details in adverse determinations and establishing appeal processes for.

Oklahoma HB4329 modifies dental insurance claims by requiring that adverse determinations include the dentist's identifier, license number, state of issuance, and contact telephone number. The dentist can only be contacted during business hours. The bill also mandates that health benefit plans or dental plans establish appeal procedures for denied claims based on medical necessity, with determinations made by a licensed dentist. The changes apply to contracts between dental plans and dentists, ensuring that services are covered under the subscriber agreement.