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If you are a contracted Oklahoma Complete Health provider, 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.
Once you have created an account, you will be able to use the Oklahoma Complete Health provider portal to:
- Verify member eligibility
- Manage claims
- Submit authorizations
- Patient List
- Login/Register
Please note - the below link will redirect you to the Oklahoma Complete Health Provider Portal outside of this website.
PaySpan
PCMH Providers our records indicate you have additional registration codes available to activate for electronic capitation and other alternative payments.
PaySpan as our preferred method for payment processing.
By registering with PaySpan, you will benefit from faster payment processing, secure electronic fund transfers, and real-time payment notifications.
Please visit www.payspanhealth.comExternal Link to sign up for PaySpan or contact PaySpan by phone at (877) 331-7154, Option 1 for assistance with registration.
Provider Quick Links
Provider Engagement/Network Support Representative
What Is A Provider Engagement Representative?
Your Provider Engagement Representative is your first and primary point of contact for all issues, concerns, and communications with Oklahoma Complete Health.
Please feel free to reach out to our Provider Engagement Representatives at OklahomaCompleteHealth_PR@OklahomaCompleteHealth.com for any assistance you may need, including, but not limited to:
- Assistance obtaining a status update on your contracting or credentialing applications
- Issues with your claims rejecting, denying or paying inappropriately
- Assistance with the provider portal or understanding a certain line of business under the Centene platform
Important Provider Updates
For Providers
August
Announcement to Providers: Claims Reprocessing
08/09/24
We are aware of the non-par issue impacting some of our providers. Rest assured that all affected providers will have their claims reprocessedMay
Oklahoma Complete Health Encourages Members to Complete Health Risk Screening Form to Access Additional Services
05/14/24
Oklahoma City, OK
Members fill out a My Health Screening form to work with care managers to identify necessary care coordination services. The form also allows care managers to help connect members to benefits and community resources.April
Reminder for Vision Value Add: XU Modifier Required for Hardware and Fit/Dispense
04/18/24
Reminder for Vision Value Add: XU Modifier Required for Hardware and Fit/DispenseOklahoma Complete Health Now Serving SoonerSelect Members
04/01/24
Oklahoma City, OK
Oklahoma Complete Health, a care management organization serving the needs of Oklahomans with health insurance solutions and a subsidiary of Centene Corporation (NYSE: CNC), is now delivering healthcare solutions to eligible SoonerSelect members throughout Oklahoma. SoonerSelect members have until July 1, 2024, to switch to Oklahoma Complete Health or the Children’s Specialty Program.March
Availity Essentials- New Multi Payer Portal Launches March 18, 2024
03/07/24
No Excerpt SpecifiedOklahoma Complete Health has partnered with Evolent to implement new Musculoskeletal Care, Radiation Benefits Management, Interventional Pain Management, and Physical Medicine management programs.
03/01/24
Oklahoma Complete Health has partnered with Evolent (formerly National Imaging Associates, Inc.) to implement new Musculoskeletal Care ‘MSK’, Radiation Benefits Management ‘RBM’, Interventional Pain Management ‘IPM’, and Physical Medicine management programs. These programs are intended to help providers easily and effectively deliver quality patient care.February
SoonerSelect Children's Specialty Program Focused on Child and Family Well-Being
02/28/24
Oklahoma City, OK
Oklahoma Complete Health has customized the Children's Specialty Program to improve the physical health and behavioral health outcomes of foster care and adoptive populations.May
Ambetter of Oklahoma (Ambetter) and Wellcare of Oklahoma (Wellcare) Musculoskeletal Care Management (MSK) Program Quick Reference Guide for Ordering Physicians/Surgeons
05/30/23
Ambetter and Wellcare has entered into an agreement with National Imaging Associates, Inc. (NIA), to implement a Musculoskeletal Care Management (MSK) Program.February
Bridging the Gap in Pediatric Mental Healthcare
02/21/23
Oklahoma Child Adolescent Psychiatry and Mental Health Program (OKCAPMAP) is hosting the first Bridging the Gap in Pediatric Mental Healthcare conference for pediatric-serving primary care providers and child and adolescent psychiatrists. The one-day conference will be held in person in Tulsa on April 28th and offers 6 CME credits.For Ambetter information, please visit our Ambetter websiteExternal Link.
For Wellcare information, please visit our Wellcare websiteExternal Link.
These are external links that will take you outside the Oklahoma Complete Health website.