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New Medical and Dental Claims Administrator

New claims administrator implementation

HealthChoice, Department of Corrections and Department of Rehabilitation Services has a new medical and dental claims administrator for all dates of service occurring on or after Jan. 1, 2018. The prior claims administrator will continue to pay claims for dates of service prior to Jan. 1, 2018, and answer questions related to services incurred prior to that date. 

Continue to submit claims with dates of service prior to Jan. 1, 2018, electronically or on paper utilizing acceptable clearinghouses with payer ID 22521. Submit claims with dates of service on or after Jan. 1, 2018, to the new claims administrator. Claims sent to the wrong claims administrator or payer ID will be rejected, denied or returned. 

HealthChoice members received new ID cards for the 2018 plan year that reflect the updated payer ID, phone numbers and claims addresses for the new claims administrator.

Claim runout responsibilities for prior years for HealthChoice, DOC and DRS will transfer to the new claims administrator beginning July 1. Please do not hesitate to call EGID Network Management with any questions at 405-717-8790 or toll-free 844-804-2642.

  CLAIMS WITH DOS PRIOR TO 01/01/18
CURRENT TPA
CLAIMS WITH DOS 01/01/18 AND AFTER
NEW TPA
PHONE HealthChoice:
Toll-free 800-782-5218
Department of Corrections:
Toll-free 800-262-7683
Department of Rehabilitation Services:
Toll-free 800-944-7938
HealthChoice:
Toll-free 800-323-4314
Department of Corrections:
Toll-free 800-323-3710
Department of Rehabilitation Services:
Toll-free 800-285-6815
FAX 405-416-1790 Toll-free 800-496-3138
TTY 405-416-1525 or Toll-free 800-941-2160 711 or Toll-free 800-545-8279
CLAIMS ADDRESS HealthChoice
P.O. Box 24870
Oklahoma City, OK 73124-0870

Department of Corrections
P.O. Box 268928
Oklahoma City, OK 73126-8928

Department of Rehabilitation Services
P.O. Box 25069
Oklahoma City, OK 73125-5069
HealthChoice
P.O. Box 99011
Lubbock, TX 79490-9011

Department of Corrections
P.O. Box 16532
Lubbock, TX 79490-6532

Department of Rehabilitation Services
P.O. Box 16485
Lubbock, TX 79490-6485
CORRESPONDENCE
ADDRESS
HealthChoice, DOC, DRS
P.O. Box 24110
Oklahoma City, OK 73124-0110
Same as claims address above
PAYER ID HealthChoice, DOC, DRS: 22521 HealthChoice: 71064
Department of Corrections: 71065
Department of Rehabilitation Services: 71065