Provider Resources

OHCA Call Tree Options

Toll free: (800) 522-0114.

Option 1 For claim status, eligibility inquiries or policy questions 

• Hours: 7:30 a.m. - 5:30 p.m., M-F

Option 2 For the Internet helpdesk or electronic data interchange

• Option 1 For Internet/EVS PIN resets or assistance with SoonerCare Secure Site. 
  Hours:  8 a.m. - 12 p.m. and 1 p.m. - 5 p.m., M-F
• Option 2 For assistance with EDI batch transactions. 
  Hours:  8 a.m. - 12 p.m. and 1 p.m. - 5 p.m., M-F

Option 3 For adjustments or third party liability

• Option 1 For questions concerning paid claim adjustments or outstanding A/R inquiries
  Hours:  7:30 a.m. - 4 p.m., M, W, Th, F 12 p.m. - 4 p.m., Tuesday
• Option 2 For health insurance injury/accident questionnaires, third party insurance inquiries, estate recovery or subrogation issues
  Hours:  8 a.m. - 5 p.m., M-F

Option 4 For pharmacy issues 

• Hours:  8:30 a.m. - 7 p.m., M-F, 9 a.m. - 5 p.m., Saturday,
  11 a.m. - 5 p.m., Sunday

Option 5 For provider contracts 

• Hours:  8:30 a.m. – 4:30 p.m. M, Tu, Th, F and 12:00 p.m. – 4:30 p.m. Wed (Training)

Option 6 Prior authorizations

• Option 1 For pharmacy authorizations
  Hours:  8:30 a.m. - 7 p.m., M-F, 9 a.m. - 5 p.m., Saturday
  11 a.m. - 5 p.m., Sunday
• Option 2 For behavioral health authorizations
  Hours:  8 a.m. - 5 p.m., M-F
• Option 3 For status of a medical authorization
  Hours:  7:30 a.m. - 5:30 p.m., M-F
• Option 5 For dental authorizations
  Hours:  8 a.m. - 5 p.m., M-F

Other OHCA Contacts

• OHCA Provider Services and Training
  (800) 522-0114, option 1
• OHCA Level of Care Evaluation (PASSR for persons with possible mental illness)
  (405) 522-7288
• OHCA Long Term Care Claims
  (405) 522-7413
• HP Provider Training
  (405) 416-6844
• EPSDT School-Based Services
  (405) 522-7188
• Federal / State Health Policy
  (405) 522-7202
• Legal: Appeals/Grievances
  (405) 522-7431

Other Useful Contacts

• Oklahoma Department of Human Services (OKDHS)
  (405) 521-3646
• Vaccines For Children Program (VFC)
  (405) 271-4073
• OKDHS, Aging Services
  (405) 521-2281
• OKDHS, Children & Family Services Division
  (405) 522-1487
• OKDHS, Developmental Disabilities Division
  (405) 521-6267
• OKDHS, Family Support Services
  (405) 521-3076
• SoonerRide (non-emergency transportation)
  (877) 404-4500
• Child Abuse Hotline
  (800) 522-3511
• Adult Protective Services Hotline
  (800) 522-3511
• Long Term Care Ombudsman
  (405) 521-6734
• Long Term Care Authority (ADvantage Waiver)
  (918) 583-3336 or (918) 933-4900
• Oklahoma State Department of Health
  (405) 271-5600
• Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS)
  (405) 522-3908