Welcome DRS Network Providers

Welcome to the Oklahoma Department of Rehabilitation Services (DRS) Provider Network. Click Here for information about the Department of Rehabilitation Services


TPA Implementation

Posted 08/14/2018

HealthChoice, Department of Corrections and Department of Rehabilitation Services has a new medical and dental claims administrator.

Continue to submit claims with dates of service prior to Jan. 1, 2018, electronically with payer ID 22521. Claims sent to the wrong 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 have transferred to the new claims administrator effective July 1. Please contact the new medical and dental claims administrator at 800-323-4314 or toll-free 800-545-8279 with any questions. You may also contact EGID Network Management at 405-717-8790 or toll-free 844-804-2642.

CLAIMS WITH DOS 01/01/18 AND AFTER
PHONE

HealthChoice:
Toll-free 800-323-4314
Department of Corrections:
Toll-free 800-323-3710
Departmet of Rehabilitation Services:
Toll-free 800-285-6815

FAX Toll-free 800-496-3138
TTY 711 or Toll-free 800-545-8279
CLAIMS ADDRESS

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

Same as claims address above

APPEAL AND PROVIDER INQUIRES

HealthChoice
P.O. Box 3897
Little Rock, AR 72203-3897

Department of Corrections
Same as claims address

Department of Rehabilitation Services
Same as claims address

PAYER ID

HealthChoice: 71064
Department of Corrections: 71065
Department of Rehabilitation Services: 71065

For DOS prior to 01/01/18 use Payer ID 22521

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ECHO Health Provider Support Services

Posted 06/07/2018

Effective Jan. 1, 2018, HealthChoice is partnering with ECHO Health, a payment disbursement service. ECHO Health is an industry leader in payment administration, and is working very closely with HealthChoice to ensure a smooth transition.

If your organization currently receives paper remittance advices in the mail, you will no longer receive these for claims with dates of service beginning Jan. 1, 2018.

If your organization currently receives electronic fund transfer (EFT) payments from HealthChoice, ECHO Health will continue to utilize that existing EFT information to disburse funds for your organization’s TIN, including all affiliated NPIs and locations. All payment information, explanation of provider payment (EPP), and electronic remittance advice (ERA) will be available at ECHO Health’s multi-payer portal www.providerpayments.com.

Providers will receive the following EFT/ERA services that are currently available for HealthChoice at no cost:

  • EFT payments (made according to your current enrollment on file with EGID).
  • Accessing ERAs for download from the www.providerpayments.com.
  • ERA routing to your designated clearinghouse.
    • To receive your ERA through your clearinghouse, please refer to information below.
  • Daily payment disbursement.
  • Payment issuance email notifications (set up through www.providerpayments.com).

Please note that existing EFT’s and clearinghouse ERA delivery preferences will continue to be maintained by HealthChoice Network Management staff.

HealthChoice encourages providers and facilities to reach out to ECHO Health Customer Service toll-free at 844-586-7463 if your organization:

  • Does not currently have access to ECHO Health’s provider portal, www.providerpayments.com.
  • Would like to automate the ERA delivery through your preferred clearinghouse partner. Please note that if existing clearinghouse routing is in place, this will be maintained.

More detailed instructions and information, along with educational webinar sessions are scheduled for December.

Claims for Dates of Service Prior to Jan. 1, 2018

You 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.

3689

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HealthChoice Retires Billing Guides

Posted 06/07/2018

In an effort to align with industry standard practices, EGID will retire the HealthChoice, DOC and DRS billing guides Jan. 1, 2018. HealthChoice, DOC and DRS will recognize standard ANSI ASC X12N transaction guidelines for services beginning Jan. 1, 2018.

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HealthChoice Connect

Posted 06/07/2018

Effective Jan. 1, 2018, HealthChoice will have a new provider portal, HealthChoice Connect, at http://www.healthchoiceconnect.com/.

On this self-service portal, providers will be able to access:

  • Claim status.
  • Direct data entry of claims.
  • Direct data entry of certification requests.
  • Electronic Payments.
  • Electronic Remittance Advices in PDF.
  • Eligibility.
  • Member benefits.

When registering on HealthChoice Connect, you will need to use your contracted tax ID number and one contracted NPI number for authentication. Only one registration is required per TIN, as this will give you access to all contracted providers and NPI numbers under that TIN. Please note, the NPI number used must be an NPI number that we have associated with your TIN. For physicians/practitioners, this would be the individual NPI number.

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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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Advanced Communication Engine Announcement

OMES Employees Group Insurance Division - Advanced Communication Engine Announcement

For dates of service beginning Jan. 1, 2018, HealthChoice will adopt more industry standard claim editing guidelines. These guidelines are a combination of CMS, CCI, and McKesson claim editing criteria which have been evaluated for implementation based on plan experience.

To ensure our network providers have the best possible experience with our organization, we are excited to announce the launch of our new Advanced Communication Engine system. ACE will be available to all direct submitters as well as those who transmit claims via clearinghouses or billing services. New ACE Edits will appear on claim rejection reports (277CA) as HealthChoice deploys ACE into the claim submission process.

  • ACE alerts you to deny certain claims through claim acknowledgement transaction reports with clear instructions on how to fix the error and access the supporting documentation that triggered the alert.
  • Claims failing the pre-adjudication editing process are not forwarded to our claims adjudication system.
  • ACE integrates into your current EDI workflow so you can modify claims before submission.
  • After you have reviewed the ACE Edit, if you choose not to change the claim, you can resubmit in its original format and it will pass directly into our claims adjudication system for processing.

ACE does not require any downloads or changes in your current EDI workflow and is available to you at no cost. Help improve clean claim rates and increase collections with actionable edit intelligence.

Providers should work with their existing clearinghouse or billing service to stress the importance of receiving a full 277CA claim submission report to include the new ACE Edits they will see with the implementation of ACE.

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Other DRS Information

Technical note: Older versions of web browsers may not display properly on this site. If you are unable to use the search, call 1-888-835-6919 or locally at 405-717-8921 to access provider information.

Use the menu at the top to search for a Network Provider. If you are unable to locate a DRS Network Provider in your area, please contact the DRS Network manager at 1-888-835-6919 or locally at 405-717-8921.

Changes occur constantly with more than 6,000 DRS Network Providers however; every effort is made to keep this list as current and accurate as possible.

After selecting a provider, it is important to confirm the DRS Network status with the provider or facility.

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