Promoting and protecting the health of our members by highlighting key topics in the healthcare industry.
- Provider Contacts
- Medicare Contacts
- HIPAA Contacts
Plan Contact Information
Plan Administrator
Oklahoma Health Care Authority
Employee Group Insurance Division
4345 N. Lincoln Blvd.
Oklahoma City, OK 73105
405-717-8780 or toll-free 800-752-9475
HealthChoiceOK.com
Network Management Unit
4345 N. Lincoln Blvd., Ste. 100
Oklahoma City, OK 73105
405-717-8780 or toll-free 800-752-9475
EGID.NetworkManagement@omes.ok.gov
HealthChoiceOK.com
Appeals
Pre-service appeals
P.O. Box 400046
San Antonio, TX 78229
Post-service appeals
P.O. Box 30546
Salt Lake City, UT 84130-0546
New Claims, Correspondence and Medical Records
HealthChoice
P.O. Box 30511
Salt Lake City, UT 84130-0511
Medical and dental claims, eligibility, benefits and certifications
Toll-free 800-323-4314
TTY 711
Payer ID: 71064
Providers can submit claims electronically through acceptable clearinghouses as identified by the medical and dental claims administrator using payer ID 71064.
SilverScript (Medicare Part D)
Prior Authorization toll-free 855-344-0930
Customer Care toll-free 866-275-5253
healthchoice.silverscript.com
Pharmacy Benefit Administrator: CVS/caremark
Prior Authorization toll-free 800-294-5979
Customer Care toll-free 877-720-9375
caremark.com
Optum Pay
Toll-free 877-620-6194
Optum Pay sign in
Plan Contact Information
Plan Administrator
Office of Management and Enterprise Services
Employee Group Insurance Division
2401 N. Lincoln Blvd., Ste. 300
Oklahoma City, OK 73105
405-717-8780 or toll-free 800-752-9475
HealthChoiceOK.com
Eligibility and Enrollment – EGID Member Services
Monday through Friday, 8:00 a.m. to 4:30 p.m. Central time
405-717-8780 or toll-free 800-752-9475
TTY 711
Medicare Supplement Plans
HealthChoice
UMR – Claims Administrator
Customer Care for HealthChoice Medicare Supplement
Toll-free 800-323-4314
TTY 711
HealthChoice Claims
P.O. Box 30511
Salt Lake City, UT 84130-0511
Appeals
Pre-service appeals
P.O. Box 400046
San Antonio, TX 78229
Post-service appeals
P.O. Box 30546
Salt Lake City, UT 84130-0546
HealthChoice Pharmacy Benefits Manager
CVS/caremark, 24/7, Live operator available 7 a.m. to midnight only
SilverScript Plans 866-275-5253 or TTY 711
Without Part D Plans 877-720-9375 or TTY 711
caremark.com
Pharmacy Prior Authorization
SilverScript plans 855-344-0930 or TTY 711
Without Part D plans 800-294-5979 or TTY 711
CVS Specialty Pharmacy 800-237-2767
Complaints or questions should be addressed to the following:
OMES HIPAA Privacy Officer
2401 N. Lincoln Blvd., Ste. 300
Oklahoma City, OK 73105
Telephone 405-717-8701, Toll-free 800-543-6044
TDD 405-949-2281, Toll-free TDD 866-447-0436.