SoonerCare Field Representatives

Oklahoma SoonerCare has a team of regional field representatives with in-depth knowledge of SoonerCare billing requirements and claim processing procedures. Training is offered on billing through the Provider Portal and use of the Eligibility Verification System (EVS) and Electronic Data Interchange (EDI). In addition to providing training through on-site visits and workshops, field representatives also assist providers with contract renewals through Electronic Provider Enrollment.

The main focus of a field representative is:

  • Training newly enrolled providers and billers on the SoonerCare Provider Portal
  • Establishing and maintaining relationships with contracted providers to insure correct claim adjudication and resolution
  • Conducting bi-annual provider workshops

Training Opportunities

Workshops, webinars and SoonerCare 101 training sessions are scheduled throughout the year to educate providers on Oklahoma SoonerCare claim processing procedures, billing requirements and policy updates. These opportunities will be announced through broadcast and banner messages, web alerts and newsletters. One-on-one and group training sessions can also be arranged at the request of individual provider groups or associations.

Scheduling Provider Visits

To assist the field representative in planning and structuring the visit or group training, the following information should be provided:

  • Provider type attending the training
  • Number of attendees
  • Time and location requested
  • Issues to be addressed
  • Point of contact if additional information is needed prior to the event

Contacting Your Field Representative

Providers may contact their field representative by telephone or email to request a visit. Field representatives travel multiple days per week, therefore please allow a minimum of 48 hours for telephone calls and emails to be returned.

For immediate assistance with claim research or resolution of other Oklahoma SoonerCare issues contact the OHCA Call Center at (405) 522-6205 or (800) 522-0114.

Click here to access the complete list of provider field representatives.