Medical Records Requests

Posted 07/14/2017

In an effort to decrease the claims administration turnaround time, the medical and dental claims administrator for HealthChoice, the Department of Corrections and the Department of Rehabilitation Services requires a scan sheet to be attached to all medical or dental records submitted. This requirement is to facilitate quickly matching the records with the correct claim. If records are submitted without the scan sheet, they will be returned to you. Please do not submit records unless they are requested by the claims administrator. A separate scan sheet must be completed for each claim for which you are submitting records.

It is important that the claim number, found on your remittance advice, be included on the form.

The forms are available for download.

2017 and prior, use this scan form.

2018, use this scan form.

If you have questions, please contact the medical and dental claims administrator at 800-285-6815..


Social Media Presence

Posted 10/30/2015

We are happy to announce that the Office of Management and Enterprise Services (OMES), the parent agency of the Employees Group Insurance Department, has launched a Facebook page and a Twitter profile as a new avenue to keep everyone informed of OMES events, accomplishments and new products.

Please follow us on Facebook at, and on Twitter at

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Attention All Providers 1099

Posted 10/30/2015

Providers will receive one 1099 for each tax identification number (TIN). If you share a TIN with other providers, there will still be only one 1099 sent. This form will be addressed to the name registered with the Internal Revenue Service and mailed to the address indicated on your W-9 form.

If you have questions regarding this change, please contact our medical and dental claims administrator, refer to “Network Provider Contact Information”.

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Submit Only Current Network Provider Contracts

Posted 10/30/2015

Please be sure you submit only the most recent versions of the HealthChoice, Department of Rehabilitation Services (DRS) or Department of Corrections (DOC) contracts. Outdated contracts will be returned to the provider which will delay the processing of the provider’s Network contract. The most current versions are always available online at the website addresses listed below.

HealthChoice contracts are available at

DRS Contracts are available at

DOC Contracts are available at

If you have any questions or are unsure which contract to use, contact network management, refer to “Network Provider Contact Information”. Email inquiries can be sent to

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Quick Tips for Submitting Claims

Posted 07/27/2015

Healthchoice, Department of Corrections, and Department of Rehabilitative Services offer free direct data entry of claims through Availity and DentalXChange.

Availity is available for the direct data entry of medical and dental claims. The Availity web portal can be accessed at A link for Availity is on the HealthChoice provider portal at under Providers Additional Resources.

DentalXChange can be accessed at DentalXChange is available for the direct data entry of dental claims only. A link for DentalXChange is on the HealthChoice provider portal at under Providers Additional Resources.

If you have any questions, contact Availity or DentalXChange directly.

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