Oklahoma § 36-3624.3 - Direct payments to Department for reimbursement of

§ 36-3624.3. Direct payments to Department for reimbursement of

medical assistance - Notice of claim - Discharge of obligation.

A. Notwithstanding the provisions of Section 3624 of this

title, whenever an insurer who has not discharged its obligation to

make payments to an individual for medical services, and if that

individual has received medical assistance from the Department of

Human Services, then the insurer, upon notice that medical

assistance has been furnished, shall make its payments directly to

the Department of Human Services, but not to exceed the amount of

medical assistance paid by the Department of Human Services or

medical service rendered by the Department.

B. Provided further, and notwithstanding the provisions of

Section 3626 of this title, any insurer who, after having been put

on notice of payment of a medical claim or claims or the rendering

of medical services by the Department of Human Services, and in

disregard of said notice, subsequently makes payments on the same

claim or claims to persons or entities other than the Department of

Human Services shall not be discharged from payment to the

Department of Human Services in the sum and amount claimed by the

Department. Payment to the Department by the insurer under the

provisions of this section shall discharge the insurer's obligation

with respect to all further payment on the claim or claims for the

amount paid.

Oklahoma Statutes - Title 36. Insurance

C. Provided, further, that the notice requirements of this act

are satisfied (1) when the insurer receives a copy of the claims

paid or medical services rendered by the Department of Human

Services together with a request for reimbursement by certified or

registered mail, or (2) when the insurer receives a claim from a

beneficiary containing information to the effect that the

beneficiary has applied for or has received medical assistance from

the Department of Human Services in connection with the same claim

as set forth in Section 3 of this act.

The insurer who receives such claim shall notify the Department

of Human Services of its obligation on such claim and shall pay the

obligation to the provider of service or if the Department of Human

Services has provided medical assistance thereon, pay the Department

of Human Services.

Laws 1981, c. 172, § 2.