SoonerCare Provider Education Specialists
Oklahoma SoonerCare has a team of Provider Education Specialists 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, Provider Education Specialists also assist providers with contract renewals through Electronic Provider Enrollment.
The main focus of a Provider Education Specialist 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.
Scheduling Provider Visits
A telephonic or virtual visit with a Provider Education Specialist may be requested for specific training on a topic. To assist the Provider Education Specialists in planning and structuring the visit or group training, the following information should be emailed to SoonerCareEducation@okhca.org:
- 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 Provider Education Specialist
Providers may contact the SoonerCare Coordinator to request assistance from a Provider Education Specialist by sending an email to SoonerCareEducation@okhca.org.
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.
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.