Oklahoma SB1942 modifies dental insurance claims procedures, including definitions and appeal processes.
Oklahoma SB1942 amends dental insurance claims procedures by modifying the definition of covered services and establishing appeal processes. The bill specifies that a health benefit plan must establish appeal procedures for claims denied based on lack of medical necessity. It mandates that any written communication regarding such denials must include the identifier, license number, state of issuance, and contact telephone number of the licensed dentist making the adverse determination. The dentist can only be contacted at the provided telephone number during business hours.
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- Legal Framework
- Critical Issues
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