HealthChoice provides a comprehensive Provider Portal designed to streamline healthcare administration for Oklahoma’s state, education, and local government healthcare providers. This digital platform offers essential tools and resources to manage patient interactions, claims, and critical healthcare information efficiently.
Official Links
- HealthChoice Providers Website: https://oklahoma.gov/healthchoice/providers.html
- Provider Portal Login: https://provider-healthchoice.tpa.com/tpa-ap-web/home
Key Portal Features
Claims and Eligibility Management
Providers can:
- View and file claims
- Check patient eligibility and benefits
- Initiate or check certification requests
- View remittance advice for claims with service dates after January 1, 2023
Provider Network Tools
The portal includes:
- Contracting self-service portal
- TIN management
- Provider roster upload
- Provider association verification
Access and Login
Provider Portal Access
- Providers can log in directly through the official website
- Secure authentication process ensures data protection
Additional Portal Resources
Certification and Guidelines
- View service certification guidelines
- Access plan policies and information
- Review network guidelines
Fee Schedules
- Network providers can access current and historical fee schedules
- Transparent pricing information available
Network Support and Updates
Network News
- Quarterly updates on plan changes
- Stay informed about recent developments
- Access the latest network information
Contracts and Documentation
Provider Network Engagement
- Join the provider network
- Update provider information
- Access necessary contracts and forms
Support and Contact Information
Customer Support
- Local Phone: 405-717-8780
- Toll-free: 800-752-9475
- TTY Users: 711
Privacy and Security
Data Protection
- Sensitive to privacy concerns
- Follows strict privacy protocols
- Provides privacy statement and terms of use
Unprovided Information
- Mobile app download details not specified in source documents
- Specific login procedure steps not fully detailed
The HealthChoice Provider Portal offers Oklahoma healthcare providers a robust, secure platform for managing patient care, claims, and administrative tasks. With comprehensive features and dedicated support, providers can efficiently navigate healthcare administration.
Note: Always refer to the official HealthChoice website for the most current information and specific portal guidelines.
Keywords: healthchoice ok provider portal, Oklahoma healthcare providers, digital healthcare management
FAQ
What type of insurance is HealthChoice OK?The HealthChoice insurance card is a combined medical and pharmacy card. Dental only coverage has its own card. Medicare Part D members will have their medical card and the SilverScript pharmacy card.
What is the phone number for HealthChoice provider?Provider customer service
Customer Care is available for all eligibility, benefits, claims, coverage, certification and appeals. Portions of this information can be viewed on the HealthChoice Provider Portal, or you can contact Customer Care at toll-free 800-323-4314. TTY users 711.
What is the payer ID for HealthChoice OK?The payer ID or EDI number is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility and benefits and submit claims. Use the following payer IDs for HealthChoice, DOC and DRS for claims processing: 71064 HealthChoice.
Does HealthChoice cover counseling in Oklahoma?When you see a therapist who is in-network with Health Choice, each session you’ll pay only a copay, which typically ranges from $0-$75/session. Health Choice is a common health insurance in Oklahoma, and individuals who have Health Choice may wish to find therapists who are in-network with their health insurance.
https://oklahoma.gov/healthchoice/providers.html
Provider portal. View or file claims, check eligibility and benefits, initiate or check certification requests, view remittance advice and more.
https://provider-healthchoice.tpa.com/tpa-ap-web/home
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