Welcome to the Oklahoma Corrections (DOC) Provider Network. Click here for more information about Oklahoma Corrections.


DOC Network Providers

Welcome to Oklahoma Corrections (DOC) Provider Network. This site will allow you to search our provider network database, read related news and download network provider contracts. Questions and comments can be addressed here. Click HERE for more information about Oklahoma Corrections.



Department of Corrections - Network Providers

Posted 01/16/2020

The Department of Corrections plan is a managed health care program that provides comprehensive health and dental benefits to approximately 22,000 inmates sentenced to incarceration with the Oklahoma DOC.

The DOC plan is a partnership between the Oklahoma DOC, providers and the OMES Employees Group Insurance Division in the delivery of health care services and products that help control costs and assist in the provision of high-quality health care. Your help as a health care professional is needed to achieve this goal.

Entry into the DOC network is pre-approval for treatment.

The DOC will work with you to schedule a time that works for your office. A correctional officer will accompany all inmates at all times. If needed, the correctional officer will bring the inmate through an alternative entrance. The DOC will work with your staff to schedule appointments before or after regular patient hours, utilizing as much discretion as necessary to not interfere with other patient care.

Network DOC providers utilize the same allowable fees as HealthChoice network providers. The DOC fee schedule is available at https://gateway.sib.ok.gov/DOC/FeeSchedule/Login.aspx. Providers that are not part of the DOC network are paid per the Medicaid fee schedule.

Network providers are contractually obligated to provide health care services to inmates upon scheduling requests by the DOC.

For more information, call toll-free at 800-323-3710 or email EGID.DOCNetworkManagment@omes.ok.gov. A network management specialist will be happy to assist you.

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Become a Department of Rehabilitation Services Provider

Posted 10/25/2017

Did you know that the Employees Group Insurance Division also maintains the Oklahoma Department of Rehabilitation Services Provider Network? DRS expands opportunities for employment, independent life and economic self-sufficiency by helping Oklahomans with disabilities bridge barriers to success in the workplace, school and home. DRS operates dozens of programs that help Oklahomans lead more independent and productive lives by aiding with:

  • Assistive technology.
  • Education.
  • Employment services.
  • Health and mental health services.
  • Housing assistance.
  • Personal assistance and in-home services.
  • Transportation.

The goal of DRS is to provide rehabilitation and the opportunity for independent living for disabled Oklahomans. Your help as a health professional is needed to achieve this goal. We encourage you to reach out and become a DRS network provider.

For more information, please visit our network provider home page at gateway.sib.ok.gov/DRS, email network management at EGID.DRSNetworkManagement@omes.ok.gov, or call us.

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DOC Billing Update

Department of Corrections billing update The Department of Corrections (DOC) transitioned from HealthSCOPE benefits as its third-party administrator to UMR. For dates of service on or after Jan. 1, 2023, DOC providers need to:

  • Bill with group number 76415170.
  • Update the inmate ID to utilize a prefix of 3650 + the DOC inmate ID number.
  • Enter the prefix 3650 + DOC inmate ID number when making a DOC inquiry using the IVR system or provider portal.
For questions, call the Customer Care team at toll-free 800-323-3710. TTY users call 711.

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Other Information

Inmates will always be accompanied by a Department of Corrections employee.  If you have any questions concerning eligibility, please contact Debbie Elledge.

Case Management

If you have any questions concerning case management or discharge planning for inmate patients, please contact Jane Kirby.

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