OAC 310:657-29-2

Prohibited acts

Year: 2026Length: 151 wordsOfficial source

Cite as Okla. Admin. Code ยง 310:657-29-2

(a) No person may operate a Plan in Oklahoma, nor use the phrase "workplace medical plan," nor imply that it is a workplace medical plan, unless that person first obtains a certificate. (b) No Plan shall imply that certification qualifies the Plan to provide services except as authorized under the Act and OAC 310:657. (c) A Plan, its employees and agents shall not: OAC 310:657 OKLAHOMA STATE DEPARTMENT OF HEALTH (1) Pay claims reviewers based on reductions, unless the reductions are based on uniformly applied protocols designed to detect billing errors and duplicate charges; (2) Compel an injured worker or a provider to: (A) Accept less than the full settlement of a claim; (B) File suit to obtain full settlement; (C) Accept a lesser, interim figure as a premature final settlement; or (3) Knowingly misrepresent reimbursement criteria and time frames to employees, a provider, an insurer, an insured, or their representatives.
OAC 310:657-29-2: Prohibited acts | Justis AI