NCPDP D.0 Payer Sheet

The following files are companion documents to the HIPAA Guidelines for Electronic Transactions, version 5010. The specifications in this document are clarifications that are allowed within the HIPAA transaction sets. The documents only clarify segments as they apply to the Oklahoma Medicaid Management Information System.

• NCPDP D.0 – National Council for Prescription Drug Program

SoonerCare Specific Requirements

Attention: The HIPAA Companion Guides have been removed at the request of the X12 organization.  Revised companion guides will be made available as soon as possible. In the meantime, the document below details some EDI requirements that are specific to Oklahoma SoonerCare. If there are any questions regarding the HIPAA requirements that are not addressed in this document, please contact the EDI Help Desk at 800-522-0114, option 2, 2 or 405-522-6205, option 2, 2.

• SoonerCare Specific Requirements

• NCPDP D.0 Payer Sheet
• Fee schedule
• Provider Secure Site / User Training Manual
• OKMMIS Provider Billing and Procedure Manual
• EDI Application for Providers
• EDI Application for Billing Agents
• Electronic Data Exchange Agreement

• Provider Secure Site
  (800) 522-0114 or
  (405) 522-6205
  option 2, then option 1
• Eligibility Verification System
  (405) 840-0650
  (800) 767-3949
• EDI Helpdesk
  (800) 522-0114 option 2, 2
   
• more contacts »