Okla. Admin. Code § 317:30-3-11.1 - Resolution of claim payment
(a)
After the submission of a claim from a provider which had been adjudicated by
the Authority, a provider may resubmit the claim under the following rules.
(b) The provider must have
submitted the claim initially under the timely filing requirements found at OAC
317:30-3-11.
(c) For dates of service provided
on or after July 1, 2015, the provider's resubmission of the claim must be
received by the Oklahoma Health Care Authority no later than 12 months from the
date of service. The only exceptions to the 12 month resubmission claim
deadline are the following:
(1)
administrative agency corrective action or agency actions taken to resolve a
dispute, or
(2) reversal of the
eligibility determination, or
(3)
investigation for fraud or abuse of the provider, or
(4) court order or hearing decision.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.