Okla. Stat. tit. 63, § 63-1-725.11
This is the official text of Okla. Stat. tit. 63, § 63-1-725.11, part of Oklahoma’s Stat. tit. 63, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 63,." Browse the sections below, each linked to its official government source.
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Definitions
Official statutory text
As used in this act:
Oklahoma Statutes - Title 63. Public Health and Safety Page 286
1. “Ancillary service” means a hospital item or service that a
hospital customarily provides as part of a shoppable service;
2. “Chargemaster” means the list of all hospital items or
services maintained by a hospital for which the hospital has
established a charge;
3. “De-identified maximum negotiated charge” means the highest
charge that a hospital has negotiated with all third-party payors
for a hospital item or service;
4. “De-identified minimum negotiated charge” means the lowest
charge that a hospital has negotiated with all third-party payors
for a hospital item or service;
5. “Department” means the State Department of Health;
6. “Discounted cash price” means the charge that applies to an
individual who pays cash, or a cash equivalent, for a hospital item
or service;
7. “Gross charge” means the charge for a hospital item or
service that is reflected on a hospital’s chargemaster, absent any
discounts;
8. “Hospital” means a hospital:
a. licensed under Section 1-702 of Title 63 of the
Oklahoma Statutes, or
b. owned or operated by a state agency;
9. “Hospital items or services” means all items and services,
including individual items and services and service packages, that
may be provided by a hospital to a patient in connection with an
inpatient admission or an outpatient department visit, as
applicable, for which the hospital has established a standard
charge, including:
a. supplies and procedures,
b. room and board,
c. use of the facility and other areas, generally
referred to as facility fees,
d. services of physicians and non-physician
practitioners, generally referred to as professional
charges, and
e. any other item or service for which a hospital has
established a standard charge;
10. “Machine-readable format” means a digital representation of
information in a file that can be imported or read into a computer
system for further processing. The term includes Extensible Markup
Language (.XML), JavaScript Object Notation (.JSON), and Comma-
Separated Values (.CSV) formats;
11. “Payor-specific negotiated charge” means the charge that a
hospital has negotiated with a third-party payor for a hospital item
or service;
Oklahoma Statutes - Title 63. Public Health and Safety Page 287
12. “Service package” means an aggregation of individual
hospital items or services into a single service with a single
charge;
13. “Shoppable service” means a service that may be scheduled
by a health care consumer in advance;
14. “Standard charge” means the regular rate established by the
hospital for a hospital item or service provided to a specific group
of paying patients. The term includes all of the following, as
defined under this section:
a. the gross charge,
b. the payor-specific negotiated charge,
c. the de-identified minimum negotiated charge,
d. the de-identified maximum negotiated charge, and
e. the discounted cash price; and
15. “Third-party payor” means an entity that is, by statute,
contract, or agreement, legally responsible for payment of a claim
for a hospital item or service.
Oklahoma Statutes - Title 63. Public Health and Safety Page 286
1. “Ancillary service” means a hospital item or service that a
hospital customarily provides as part of a shoppable service;
2. “Chargemaster” means the list of all hospital items or
services maintained by a hospital for which the hospital has
established a charge;
3. “De-identified maximum negotiated charge” means the highest
charge that a hospital has negotiated with all third-party payors
for a hospital item or service;
4. “De-identified minimum negotiated charge” means the lowest
charge that a hospital has negotiated with all third-party payors
for a hospital item or service;
5. “Department” means the State Department of Health;
6. “Discounted cash price” means the charge that applies to an
individual who pays cash, or a cash equivalent, for a hospital item
or service;
7. “Gross charge” means the charge for a hospital item or
service that is reflected on a hospital’s chargemaster, absent any
discounts;
8. “Hospital” means a hospital:
a. licensed under Section 1-702 of Title 63 of the
Oklahoma Statutes, or
b. owned or operated by a state agency;
9. “Hospital items or services” means all items and services,
including individual items and services and service packages, that
may be provided by a hospital to a patient in connection with an
inpatient admission or an outpatient department visit, as
applicable, for which the hospital has established a standard
charge, including:
a. supplies and procedures,
b. room and board,
c. use of the facility and other areas, generally
referred to as facility fees,
d. services of physicians and non-physician
practitioners, generally referred to as professional
charges, and
e. any other item or service for which a hospital has
established a standard charge;
10. “Machine-readable format” means a digital representation of
information in a file that can be imported or read into a computer
system for further processing. The term includes Extensible Markup
Language (.XML), JavaScript Object Notation (.JSON), and Comma-
Separated Values (.CSV) formats;
11. “Payor-specific negotiated charge” means the charge that a
hospital has negotiated with a third-party payor for a hospital item
or service;
Oklahoma Statutes - Title 63. Public Health and Safety Page 287
12. “Service package” means an aggregation of individual
hospital items or services into a single service with a single
charge;
13. “Shoppable service” means a service that may be scheduled
by a health care consumer in advance;
14. “Standard charge” means the regular rate established by the
hospital for a hospital item or service provided to a specific group
of paying patients. The term includes all of the following, as
defined under this section:
a. the gross charge,
b. the payor-specific negotiated charge,
c. the de-identified minimum negotiated charge,
d. the de-identified maximum negotiated charge, and
e. the discounted cash price; and
15. “Third-party payor” means an entity that is, by statute,
contract, or agreement, legally responsible for payment of a claim
for a hospital item or service.
Status: in_force · Read it on the official government site
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