Grievance and Appeals Information

If your medical or dental claim is denied in whole or in part for any reason, you have the right to have that claim reviewed. Requests for review of your denied claim, along with any additional information you wish to provide, must be submitted in writing to the claims administrator

HealthChoice Appeals Unit
P.O. Box 3897
Little Rock, AR 72203

If your claim is reviewed and remains denied, you can appeal that decision to the Grievance Panel by writing to

The Legal Grievance Department
2401 N. Lincoln Blvd., Ste. 300 
Oklahoma City, OK 73105

or calling 405-717-8701 or toll-free 800-543-6044. TDD users call 405-949-2281 or toll-free 866-447-0436.

If your pharmacy claim is denied and you have questions concerning the grievance and appeal process, please call the pharmacy benefit manager for SilverScript Plans toll-free 866-275-5253 or TTY 711.

We encourage you to contact us as soon as possible if you have questions, concerns, or problems related to your prescription drug coverage. If your pharmacy claim is denied and you have questions concerning the denial, please contact the pharmacy benefit manager, 7 a.m. to 12 a.m., 7 days a week at 877-720-9375 or TTY 711.

If you want to appeal a denied pharmacy claim based on clinical criteria provided by your physician, you can fax your written appeal to 405-717-8925 or mail it to

HealthChoice Pharmacy Unit
2401 N. Lincoln Blvd., Ste. 300
Oklahoma City, OK 73105

If your appeal is denied, you have the right to file a grievance with EGID. Please follow the same procedures used when appealing a denied medical claim.