Contracts and Applications

Application

Oklahoma Uniform Credentialing Application 

Oklahoma Uniform Credentialing Application Supplement

Oklahoma Uniform Credentialing Applications (OUCA) will not be considered complete unless accompanied by an OUCA Supplement and the required attachments.

Completed OUCA and HealthChoice facility applications can be signed, scanned in, and then emailed. If this is not an option for you, mail or fax it to:

HealthChoice Network Management
3545 NW 58 Street, Suite 110
Oklahoma City, OK 73112
FAX: 1-405-717-8977

Please direct all email submissions to your designated contracting representative. If you are not aware of your representative direct them to: EGIDNetworkManagement@sib.ok.gov