Electronic Transactions
Oklahoma Complete Health is committed to providing our participating providers with the best tools possible to support their administrative needs. Our electronic transactions capabilities will speed up the processing and payment of your claims.
Secure Web Portal
Some of the functions available to you on the secure web portal include:
- Verify member eligibility and benefits
- Check and submit claims
- Submit and confirm authorizations
PaySpan
Oklahoma Complete Health and PaySpan are in partnership to provide an innovative web-based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).
EDI
Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating electronic remittance advice (ERA/).
The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options. Our preferred EDI gateway is Availity. If you need assistance in making a connection with Availity or have any questions, please contact Availity Client Services at 1-800-282-4548.
CLEARINGHOUSE | SOONERSELECT MEDICAID AND CHILDREN'S SPECIALTY PROGRAM | WEBSITE | CONTACT PHONE NUMBER |
---|---|---|---|
Ability | 68069* | Link to Ability website: www.abilitynetwork.com | 1-877-340-5610 |
Availity | 68069* | Link to Availity website: www.availity.com/contact-us | 1-800-282-4548 |
CC.PP.500 | |
CC.PP.065 | Multiple Diagnostic Cardiovascular Procedure Payment Reduction (MDCR) |
CC.PP.068 | Multiple Procedure Payment Reduction (MPPR) for Therapeutic Services |
CC.PP.069 | |
CC.PP.061* | |
CC.PP.071 | Office Visits Billed with Treatment Rooms |
CC.PP.067 | |
CC.PP.050 | |
CC.PP.035 | |
CC.PP.056 | |
CC.PP.502 | |
CC.PP.501 | |
CC.PP.066 | |
CC.PP.053 | |
CC.PP.054 | |
CC.PP.055 | |
CC.PP.057 | |
CC.PP.052 |