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 are made solely through electronic funds transfer (EFT).
The “Electronic Funds Transfer (EFT) Authorization Agreement” is available at www.ok.gov/sib/documents/EFTForm.pdf.
All claims are paid directly to Network Providers as required under the terms of the Network Provider contract. An example of the provider RA is available at www.healthchoiceok.com/documents/HCRemittance.pdf.
HealthChoice Network Providers who currently accept Medicare assignment receive direct claims payments.
EFT is utilized for all provider payments. RAs are processed for Network Providers on a nightly basis. Paper RAs are still mailed when utilizing EFT. Network Providers can contact the medical and dental claims administrator to stop receiving paper RAs and download them exclusively from ClaimLink.
Maintaining confidentiality is especially important to patients seeking treatment for sensitive issues and improvements in our privacy processes are made on an ongoing basis.
In order to better maintain patient confidentiality, HealthChoice began removing the “Code” header and the “Code Description” from RAs and ClaimLink for all claims processed on or after Jan. 1, 2016. The certification administrator also removed all references to coding/description from all communications.