Oklahoma § 36-6553 - Private review agents - Certification required Exemptions
Full text of Oklahoma Oklahoma Statutes § 36-6553 — Private review agents - Certification required Exemptions, with citation guidance and answers to common questions.
§ 36-6553. Private review agents - Certification required Exemptions
A. A private review agent who approves or denies payment or who
recommends approval or denial of payment for hospital or medical
services or whose review results in approval or denial of payment
for hospital or medical services on a case-by-case basis shall not
conduct utilization review in this state unless the Insurance
Commissioner has granted the private review agent a certificate.
B. Except as provided in Section 9 of this act, the Hospital
and Medical Services Utilization Review Act shall not apply to any
insurance company or not-for-profit hospital service and medical
indemnity plan licensed by the Commissioner to transact insurance in
this state. If the insurer contracts outside the company for any or
all utilization review services, the entity with whom the insurance
company contracts shall be subject to all of the provisions of the
Hospital and Medical Services Utilization Review Act.
C. The State and Education Employees Group Insurance Board
shall be exempt from the provisions of the Hospital and Medical
Services Utilization Review Act and regulated accordingly as
provided for in the State and Education Employees Group Insurance
Act. In addition, the Board shall comply with the provisions of
Section 17 of this act. If the State and Education Employees Group
Insurance Board contracts for utilization review services instead of
having utilization review services be performed by employees of the
Board, the entity with whom the Board contracts shall be subject to
all of the provisions of the Hospital and Medical Services
Utilization Review Act.
Added by Laws 1991, c. 294, § 3, eff. Nov. 1, 1991.
Source: official Oklahoma text · Last verified 2026-08-27
Frequently Asked Questions About Oklahoma § 36-6553
What does Oklahoma Statutes § 36-6553 cover?
Section 36-6553 ("Private review agents - Certification required Exemptions") 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 § 36-6553?
A common citation format is "Oklahoma Statutes § 36-6553" (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 § 36-6553 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.