Okla. Stat. tit. 36, § 36-6050.2

As used in the Out-of-Network Ambulance Service Provider Act:

1. “Ambulance service provider” means an ambulance service as

defined by Section 1-2503 of Title 63 of the Oklahoma Statutes

Oklahoma Statutes - Title 36. Insurance Page 1065

except that, for the purposes of this act, the term shall be limited

to an ambulance service provider that provides ground transportation

services;

2. “Covered ambulance services” means those ground ambulance

services which an enrollee is entitled to receive under the terms of

a health care benefit plan;

3. “Enrollee” means a person who is entitled to receive covered

ambulance services under the terms of a health care benefit plan;

4. “Health care benefit plan” means a plan, policy, contract,

certificate, agreement, or other evidence of coverage for health

care services offered, issued, renewed, or extended in this state by

a health care insurer, or government-sponsored self-insured plans.

Health care benefit plan does not include any health plan offered by

a contracted entity as defined in Section 4002.2 of Title 56 of the

Oklahoma Statutes that provides coverage to members of the state

Medicaid program;

5. “Health care insurer” means an entity that is subject to

state insurance regulation and provides coverage for health benefits

in this state and includes the following:

a. an insurance company,

b. a health maintenance organization,

c. a hospital and medical service corporation,

d. a risk-based provider organization, or

e. a sponsor or self-funded plan.

Health care insurer does not include a contracted entity as defined

in Section 4002.2 of Title 56 of the Oklahoma Statutes that provides

coverage to members of the state Medicaid program;

6. “Out-of-network” means a provider that does not contract

with the health care insurer of the enrollee receiving the covered

ambulance services; and

7. “Clean claim” means a claim that has no defect of

impropriety, including any lack of required substantiating

documentation or particular circumstances requiring special

treatment that prevents timely payment from being made on the claim.