SoonerCare Provider Handbook
Quick Reference
Telephone Numbers
OHCA Main Number Adjustments Customer Service Providers Recipients Fax Customer Services Claim Status Line Providers Recipients Health Policy Division Legal-Appeals/Grievances Level of Care Evaluation Unit Long Term Care Managed Care Division SoonerCare Contractor Services SoonerCare Helpline (404) 522-7300 (405) 522-7450 (405) 522-6205 1-800-522-0114 (405) 522-7171 1-800-522-0310 (405) 522-7178 1-800-522-0114 1-800-522-0310 (405) 522-7440 (405) 522-7217 (405) 522-7288 (405) 522-7413 (405) 522-7200 1-877-823-4529 1-800-987-7767 SoonerCare Nurse Advice Line Medical and Health Policy Services Medical Management Med. Authorization Med. Case Management OU College of Pharmacy Helpline Outreach and Marketing Provider Enrollment Unit – Medicaid FFS Contracts REVS - Recipient Eligibility Verification System SoonerRide Supply Line Suspected Child Abuse Hotline Third Party Liability Vaccines for Children Care Management 1-800-530-3002 (405) 522-7382 (405) 522-7382 (405) 522-7555 1-877-252-6002 (405) 271-6349 1-800-831-8921 (405) 522-7484 (405) 522-6205 1-800-522-0114 (405) 840-0650 1-800-767-3949 1-877-404-4500 (405) 522-7375 1-800-522-3511 (405) 522-7451 1-800-268-5261 (405) 271-4073 1-877-823-4529 press option 9
02/01/04
Quick Reference
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SoonerCare Provider Handbook
Quick Reference CALL TREE
Client Lines
Toll Free (800) 522-0310 Oklahoma City (405) 522-7171 1 – Eligibility questions / DHS 2 – Claim Status / EDS Call Center 3 – SoonerCare Member Services 4 – Enrollment Agent / First Health 5 – Nurse Advice Line / First Health 6 – Spanish Assistance / EDS Call Center
Provider Lines
Toll Free (800) 522-0114 Oklahoma City (405) 522-6205 1 – Fee-for-service, SoonerCare claim status 2 – Eligibility / EVS 3 – Care Management 4 – Pharmacy Help Desk 5 – Provider Contracts 6 – Adjustments 7 – TPL 8 – PIN resets/ EDI/ Medicaid on the Web Assistance 1. Security Help Desk 2. EDI Help Desk 3. Medicaid on the Web Help Desk 9 – Prior Authorizations 1. Medical 2. Dental * – Repeat Options
9 – Repeat Options
02/01/04
Quick Reference
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