SoonerCare provider update, winter 2014

              1
SoonerCare Provider
Update
Winter 2014
Provider Portal
Enhancements
As of Jan. 24, 2014, providers were able to access the new, enhanced Provider Portal. This is the
first major change to the portal since 2003.
A major undertaking such as this is not without challenges, and the Oklahoma Health Care Authority
(OHCA) would like to thank providers for their patience as we work through these issues. Functionality
of the site is improving every day, and HP Enterprise Services has brought in experts from across the
country to fix any remaining problems.
As of Jan. 31 providers reported that website performance was good and there was increased satisfaction
with the enhanced functionality. Enhancements include the ability to request electronic referrals for
specialty care.
• Providers are able to view their remits, reducing
the amount of paper remits possibly mailed out.
• Providers are able to attach their documents to
claims and medical prior authorizations rather
than having to fax.
• Providers are able to search for specialty
providers in the provider database, to ensure
better access to care.
• Providers are able to submit online prior
authorization requests, rather than submission
of paper.
• Providers are able to search for medical claims
history per procedure code, so providers will not
bill for non-reimbursable services.
• Providers are able to add a third party insurance
carrier to the members file (after approval from
OHCA).
• Providers are able to copy selected fields and
information for copied claims and prior
authorizations.
• Offers additional security measures for
providers, clerks and trading partners.
• Provides ability to make electronic referrals.*
Continued on Page 2 >>