Eligibility Verification

Oklahoma Complete Health providers should verify member eligibility before every service is rendered, using one of the following methods:

1. Log on to our Secure Provider Web Portal. Using our secure Provider Portal, you can check member eligibility. You can search by date of service and either of the following: member name and date of birth, or member Medicaid ID and date of birth.

2. Call our automated member eligibility IVR system. Call our toll-free Provider Services number (coming soon) from any touch-tone phone and follow the appropriate menu options to reach our automated member eligibility verification system 24 hours a day. The automated system will prompt you to enter the member Medicaid ID and the month of service to check eligibility.

3. If you cannot confirm a member’s eligibility using the methods above, call our toll-free number (coming soon) to speak to a live representative. Follow the menu prompts to speak to a Provider Services Representative to verify eligibility prior to rendering services. Provider Services will need the member name, member Medicaid ID, and member date of birth to check eligibility. Possession of an Oklahoma Complete Health member ID card is not a guarantee of eligibility.

Use one of the above methods to verify member eligibility on the date of service.