Oklahoma § 36-6060.41 - Definitions

§ 36-6060.41. Definitions

As used in the Oklahoma Right to Shop Act:

1. "Allowed amount" means the contractually agreed-upon amount

paid by a carrier to a health care entity participating in the

network of the carrier;

2. "Comparable health care service" means any covered

nonemergency health care service or bundle of services. The

Insurance Commissioner may limit what is considered a comparable

health care service if an insurance carrier can demonstrate allowed

amount variation among network providers is less than Fifty Dollars

($50.00);

Oklahoma Statutes - Title 36. Insurance

3. "Health benefit plan" means any plan as defined in

subsection C of Section 6060.4 of Title 36 of the Oklahoma Statutes;

4. "Insurance carrier" or "carrier" means an insurance company

that issues policies of accident and health insurance and is

licensed to sell insurance in this state;

5. "Shared savings incentive" means a voluntary and optional

financial incentive that an insurance carrier may provide to an

enrollee for choosing certain health care services under a shared

savings incentive program; and

6. "Shared savings incentive program" means a voluntary and

optional incentive program established by an insurance carrier

pursuant to this act.

Added by Laws 2022, c. 151, § 2.