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Effective Sunday, May 19, 2024, Oklahoma providers can submit claims for Aetna Better Health® of Oklahoma using the provider portal; Availity Essentials.
May PCMH Care Coordination fee payments
The May PCMH payments will be sent out the week of May 13, 2024.
Incorrect denials
Aetna Better Health® of Oklahoma is aware of claim denials pertaining to members over 21 years of age. The denial is incorrect, and we are addressing the issue and expect resolution within 30 days. As a workaround, if the system is not corrected within 30 days, we will manually reprocess the claims. Your provider group will not be required to resubmit the claims as Aetna Better Health® would handle the reprocessing of the claims internally.
Member IDs without PCPs:
Members receive an ID card containing pertinent information, such as the member’s name, ID number, and contact information for claims and scripts. While members should have an assigned PCP on their ID card, some members may not have their PCP listed on their ID card. A member should not be turned away for services if a PCP is not listed on their ID card.