The HealthChoice Provider Portal is a comprehensive digital platform designed for healthcare providers serving Oklahoma’s state, education, and local government employees. This secure online resource streamlines administrative processes and enhances communication between healthcare professionals and the HealthChoice system.
Official Links
- Oklahoma HealthChoice Providers: https://oklahoma.gov/healthchoice/providers.html
- HealthChoice Provider Portal: https://provider-healthchoice.tpa.com/tpa-ap-web/
What Providers Can Do
The HealthChoice Provider Portal offers multiple critical functionalities:
Key Portal Features
- View and file claims
- Check member eligibility and benefits
- Initiate or check certification requests
- Review remittance advice
- Access claims with service dates after January 1, 2023
Access and Login
Contracting Portal
Providers can:
- View or modify Tax Identification Number (TIN)
- Terminate providers via roster upload
- Verify providers associated with a specific TIN
Critical Resources
Additional Portal Sections
-
Policies and Guidelines
- Comprehensive plan policies
- Detailed provider information resources
-
Certification
- View service certification guidelines
- Understand certification requirements
-
Fee Schedules
- Access current and historical fee schedules
- Network provider-specific financial information
-
Network News
- Stay updated on quarterly plan changes
- Review latest network updates
Privacy and Security
HealthChoice emphasizes privacy protection:
- Sensitive to privacy concerns
- Follows strict privacy protocols
- Provides transparent privacy statements
Support and Contact Information
Official Contact Channels
- Local Phone: 405-717-8780
- Toll-free: 800-752-9475
- TTY Users: 711
Membership Overview
HealthChoice serves:
- More than 186,000 members
- Covers state employees
- Supports education sector
- Includes local government employees
Unprovided Information
Some details were not explicitly available in the source documents, including:
- Specific login procedure steps
- Detailed app download instructions
- Comprehensive billing portal features
Important Disclaimers
- Portal usage requires acceptance of the Site Usage Agreement
- Unauthorized access may face legal prosecution
- Session timeouts are implemented for security
The HealthChoice Oklahoma Provider Portal represents a robust, secure digital platform enabling healthcare providers to efficiently manage administrative tasks, access critical information, and maintain streamlined communication with the HealthChoice system.
Recommended Next Steps:
- Review official portal links
- Familiarize yourself with available features
- Contact support for specific inquiries
Last Updated: January 17, 2025
FAQ
What kind of insurance is HealthChoice Oklahoma?The Employees Group Insurance Division (EGID), formerly the Oklahoma State & Education Employees Group Insurance Board (OSEEGIB), provides group health, dental, life, and disability insurance plans for Oklahoma’s public sector employees. These plans are known as HealthChoice.
What is the payer ID for HealthChoice Oklahoma?EDI payer IDs and group numbers
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.
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.
Does HealthChoice cover therapy in Oklahoma?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. 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.
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/?forcemainsite=true
Log in or register as a member. HealthChoice provides comprehensive health and dental benefits to more than 186,000 members. HealthChoice is available to