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);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; and6. '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.
Oklahoma Legal Code