Oklahoma SB1953 establishes the Employer Health Plan Transparency Act to enhance transparency in health insurance contracts.
Oklahoma SB1953, the Employer Health Plan Transparency Act, mandates that health insurance issuers and covered service providers offer transparency in their contracts with regulated health plans. The act prohibits contracts from limiting access to claims and encounter information, nonclaim costs, and other essential data. It requires the disclosure of calculation formulas, pricing methodologies, and other information used to determine reimbursements. Additionally, it mandates the support of automated daily batch delivery of claims, encounter information, and other data.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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