Electronic Funds Transfer (EFT)
Posted 12/13/13; Modified 10/27/17
As mandated by HB1086, the Transparency, Accountability, and Innovation in Oklahoma State Government 2.0 Act of 2011, all payments disbursed by the Office of the State Treasurer must be made solely through Electronic Funds Transfer (EFT).
Claims payments from HealthChoice, DRS, and DOC will only be available electronically starting July 1, 2013. At that time, EGID began enforcing its policies to only pay health and dental providers in accordance with HB 1086 EFT mandate. Mandatory enrollment in the EFT program applies to both Network and non-Network providers. Claims received with no EFT information on file are being denied and will not be processed until information is received.
Enrolling in EFT does not affect the Remittance Advice (RA). By default, providers still receive a paper RA by mail. Should Network Providers wish to stop receiving their paper RA, and download an electronic version through ClaimLink, click on ClaimLink at the top of this page or contact our Claims Administrator at the phone number below.
Network Providers should contact Employees Group Insurance Division Network Management at 1-405-717-8790 or toll-free 1-800-543-6044, or email EGID.NetworkManagement@omes.ok.gov, or write to 3545 NW 58th St, Ste 110, Oklahoma City, OK 73112 to check the status of their EFT enrollment. Please allow up to 14 business days for processing prior to checking status.
Non-Network providers should contact our Health and Dental Claims Administrator at 1-405-416-1800 or toll-free 1-800-782-5218 to check the status of their EFT enrollment.
Network Providers should use this form to sign up for EFT claim payments which are sent directly to their bank account. If they change tax identification numbers (TIN) or NPI Numbers, they must also complete and submit this form with their change request.
Network Electronic Funds Transfer Form
If you are a Network Provider and are missing an EFT payment, click here.
Non-Network Electronic Funds Transfer Form
If you are a Non-Network Provider and are missing an EFT, click here.
ECHO Health Provider Support Services
Effective Jan. 1, 2018, HealthChoice is partnering with ECHO Health, a payment disbursement service. If your organization currently receives paper remittance advices in the mail, you will no longer receive them for claims with dates of service Jan. 1, 2018, and forward.
If your organization is currently participating with HealthChoice to receive electronic fund transfer (EFT) payments, ECHO Health will continue to utilize that existing EFT information to disburse funds for your organization’s TIN, including all affiliated NPIs and locations. However, all organizations will need to enroll with ECHO Health to receive electronic remittance advices for your claims for dates of service beginning Jan. 1, 2018, unless they are already receiving ERAs or EPPs from ECHO Health for other lines of business.
ECHO Health offers an improved ERA known as an Explanation of Provider Payments (EPP), which combines payment information and remittance data into a single document. These detailed payment explanations can be viewed instantly on the ECHO Health portal at www.providerpayments.com. In order to receive EPPs for HealthChoice payments, simply register for the portal at any time to receive notices each time a new payment is issued.
HealthChoice urges providers and facilities to begin the registration process for your organization’s TIN in order to access EPPs as soon as possible by contacting ECHO Health customer service department at 844-586-7463.
Webinars including detailed instructions for using the ECHO Health portal to retrieve ERAs and other available information will be scheduled in December.
Claims for Dates of Service Prior to Jan. 1, 2018
Providers will continue to receive payments and related remittance advices according to your current directive with HealthChoice for claims processed by the current TPA for dates of service prior to Jan. 1, 2018.
Follow this link for some additional information about ECHO Health https://www.ok.gov/sib/documents/ECHOProviderSupportServices.pdf.