Oklahoma § 36-6475.17 - Description of external review procedures
Full text of Oklahoma Oklahoma Statutes § 36-6475.17 — Description of external review procedures, with citation guidance and answers to common questions.
§ 36-6475.17. Description of external review procedures
A. 1. Each health carrier shall include a description of the
external review procedures in or attached to the policy,
certificate, membership booklet, outline of coverage or other
evidence of coverage it provides to covered persons.
2. The disclosure required by paragraph 1 of this subsection
shall be in a format prescribed by the Insurance Commissioner.
B. The description required under subsection A of this section
shall include a statement that informs the covered person of the
right of the covered person to file a request for an external review
of an adverse determination or final adverse determination with the
Commissioner. The statement shall explain that external review is
available when the adverse determination or final adverse
determination involves an issue of medical necessity,
appropriateness, health care setting, level of care or
effectiveness. The statement shall include the telephone number and
address of the Commissioner.
C. In addition to subsection B of this section, the statement
shall inform the covered person that, when filing a request for an
external review, the covered person will be required to authorize
the release of any medical records of the covered person that may be
required to be reviewed for the purpose of reaching a decision on
the external review.
Added by Laws 2011, c. 278, § 51 and Laws 2011, c. 360, § 41.
NOTE: Laws 2011, c. 278, § 51 and Laws 2011, c. 360, § 41 added
identical sections under the same number.
Source: official Oklahoma text · Last verified 2026-08-27
Frequently Asked Questions About Oklahoma § 36-6475.17
What does Oklahoma Statutes § 36-6475.17 cover?
Section 36-6475.17 ("Description of external review procedures") is part of the Oklahoma Statutes, the codified statutory law of Oklahoma. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Oklahoma § 36-6475.17?
A common citation format is "Oklahoma Statutes § 36-6475.17" (Oklahoma). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Oklahoma law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Oklahoma official source linked on this page or consult a licensed Oklahoma attorney.
How does Oklahoma § 36-6475.17 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Oklahoma can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Oklahoma.