SoonerSelect is the managed-care layer. SoonerCare fee-for-service is not the same claim. The Oklahoma Health Care Authority runs SoonerCare. SoonerSelect is the managed-care program, and the plan on the card is the payer for those members. Fee-for-service SoonerCare is a different submission. A Texas STAR plan will not pay an Oklahoma member.
SoonerSelect is the managed-care layer. SoonerCare fee-for-service is not the same claim.
The Oklahoma Health Care Authority runs SoonerCare. SoonerSelect is the managed-care program, and the plan on the card is the payer for those members. Fee-for-service SoonerCare is a different submission. A Texas STAR plan will not pay an Oklahoma member.
Medicare Part A and Part B for an Oklahoma practice go to Novitas Solutions, Jurisdiction H, with Texas, Kansas's southern neighbor Colorado, and New Mexico. Kansas itself uses WPS Jurisdiction 5. Arkansas shares Novitas Jurisdiction H.
Oklahoma is not a no-fault state. A work injury is billed to the employer's carrier under the Workers' Compensation Commission in Oklahoma. It is not a SoonerSelect claim.
Oklahoma added managed care on top of SoonerCare. A billing setup that still sends every Medicaid member as fee-for-service will miss the SoonerSelect plan. Medicare stays with Novitas Jurisdiction H, the same contractor Texas uses.
Oklahoma's Medicaid managed-care program under SoonerCare. The plan on the card is the payer. Fee-for-service SoonerCare is a separate submission.
Novitas Solutions, Jurisdiction H. Kansas uses WPS Jurisdiction 5.
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.
