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  • Oklahoma Medicaid 837p Companion Guide Form

Get Oklahoma Medicaid 837p Companion Guide Form

GS01 GS02 Functional Identifier Code GS Application Sender s Code GS GS03 Application Receiver s Code Date Time Group Control Number GS Responsible Agency Code GS Version/Release/Industry GS Identifier Code ISA15 ISA16 Acknowledgment Requested Usage Indicator Component Element Separator Functional Group Header GS04 GS05 GS06 GS07 GS08 HC for Health Care Claim 837 HC Unique number within interchange. Will begin with 0001 and will increment by 1 .

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Providers can submit claims electronically utilizing clearinghouses in conjunction with the electronic claims payer ID 22521. Contact the claims administrator for more information.

Timely filing is 183 calendar days from the date of service.

Apply for Medicaid in Oklahoma Eligibility: The aged, blind, and disabled. Also, parents with income up to 42% of poverty, pregnant women with income up to 138% of poverty level, and children under age 19 with income up to 205% of poverty.

All claims are required to be submitted within 180 days from the date of service. Reconsiderations and disputes should be filed within 90 days of the provider's Electronic Remittance Advice (ERA) / Explanation of Payment (EOP) date.

Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.

The limit remains at 6 months from the date of service to submit a timely claim, and then once a claim is submitted timely, the provider has 6 more months to resubmit the claim if necessary, see OAC 317:30-3-11.1.

Stat. 5008(B). c) The mailing address for OHCA is: Oklahoma Health Care Authority, Attention: Provider Contracting, P.O. Box 54015, Oklahoma City, OK 73154.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232