The Oklahoma Complete Health Provider Portal offers healthcare professionals a comprehensive digital platform designed to streamline administrative tasks and enhance patient care management. This secure online system provides quick and efficient access to critical healthcare information and services.
Official Links
- Provider Portal: Oklahoma Complete Health Providers Page
- Login Portal: Oklahoma Complete Health Provider Login
What Providers Can Do
Healthcare providers can utilize the portal to:
- Verify member eligibility
- Manage claims
- Submit authorizations
- Access patient lists
- Check claim status
Who Can Use the Portal
The portal is designed for:
- Contracted Oklahoma Complete Health providers
- Non-contracted providers (after submitting first claim)
Accessing the Portal
Login Process
Providers can register through the provider portal with the following steps:
- Contracted providers: Direct registration
- Non-contracted providers: Register after submitting first claim
Key Features
Key Functionalities
- Real-time member eligibility verification
- Claims management
- Authorization submissions
- Patient list access
Payment Processing
PaySpan Integration
Oklahoma Complete Health recommends PaySpan for payment processing, offering:
- Faster payment processing
- Secure electronic fund transfers
- Real-time payment notifications
PaySpan Contact:
- Website: www.payspanhealth.com
- Phone: (877) 331-7154, Option 1
Provider Support
Provider Engagement Representatives
Providers can reach out to the support team for:
- Contracting and credentialing application status
- Claims processing issues
- Provider portal assistance
- Business line inquiries
Contact Email: [email protected]
Quick Links for Providers
- Pre-Authorization Check
- Availity (Claims, Authorizations, Status)
- Preferred Drug List
Additional Resources
Important Considerations
- Providers must have appropriate credentials
- Initial registration may require specific documentation
- Keep login credentials secure
Privacy and Security
While specific security details are not explicitly outlined in the provided documents, the portal emphasizes secure access and professional data management.
Unprovided Information
Some details not explicitly specified in the source documents include:
- Exact login procedure steps
- Detailed security protocols
- Comprehensive feature list
- Specific technical requirements for portal access
The Oklahoma Complete Health Provider Portal represents a crucial digital tool for healthcare providers, offering streamlined administrative processes and enhanced patient care management.
Note: Information is current as of the last website update (10/01/2024) and may be subject to change.
FAQ
Is Oklahoma Complete health a Medicaid plan?Oklahoma Complete Health is a provider-led entity selected to serve the Medicaid population through state’s SoonerSelect and Children’s Specialty Program.
How do I contact Oklahoma complete health?Do you need more information or have a question? Please fill out the below form or contact us at 1-833-752-1664 (TTY: 711).
Who owns Oklahoma Complete health?About Oklahoma Complete Health
Oklahoma Complete Health is a wholly-owned subsidiary of Centene Corporation, a leading healthcare enterprise.
Does Oklahoma complete health cover pharmacy?Oklahoma Complete Health covers certain prescription drugs and over-the-counter drugs when prescribed by an Oklahoma Complete Health provider. The pharmacy program does not cover all drugs. Some drugs require prior authorization and may have limitations on age, dosage or maximum quantities.
https://www.oklahomacompletehealth.com/providers.html
You can register through the provider portal. If you are a non-contracted provider, you will be able to register after you submit your first claim.
https://www.oklahomacompletehealth.com/providers/login.html
The Secure Provider Portals are live! Prior authorization updates effective 7/1/2024 for new American Medical Association Current Procedural Terminology (CPT®)