SB515

Oklahoma SB515 allows health care providers to accept full payment directly from enrollees and requires health benefit plans to apply these payments.

Oklahoma SB515 mandates that health care providers can accept full payment directly from enrollees, bypassing the need to submit claims to the enrollee’s health benefit plan. The discounted cash price for services rendered by the provider is considered full payment. The enrollee’s health benefit plan must apply these payments to the enrollee's deductible and maximum out-of-pocket expense. The bill also requires health benefit plans to establish a procedure for enrollees to claim credits for these payments and to identify the necessary documentation.