Coverage profile
Work Medicaid Oklahoma across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Oklahoma.
Phone claim status
Automated phone agentOther aliases
Also known as
- 10159
- 12K25
- CKOK1
- MC030
- OHCA1
- OKMCD
- SKOK0
- Oklahoma Health Care Authority
- Oklahoma Medicaid
- SoonerCare
2027 maternity billing research
When does Medicaid Oklahoma change OB/GYN billing?
SoonerCare moves new prenatal patients to its staged 2026 transition on 2026-09-01. For maternity care spanning into 2027, the state says not to use bundled delivery codes and requests TH on antepartum/postpartum E/M claims.
- Transition start
- 2026-09-01
- Billing start
- 2027-01-01
- Published
- 2026-08-10
- Current As Of
- September 2026
Scope: Oklahoma Health Care Authority / SoonerCare Medicaid. This does not establish rules for commercial Oklahoma plans or Medicaid managed-care plans without their own instruction.
2026 Global Messages — Maternity Care Coding Changes. Verify the payer source before claim submission.
Frequently asked questions
Medicaid Oklahoma payer FAQs
What is the payer ID for Medicaid Oklahoma?
The primary payer ID for Medicaid Oklahoma is SKOK0. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Medicaid Oklahoma?
The 837P and 837I payer ID for Medicaid Oklahoma is SKOK0 via Stedi.
What is the 835 payer ID for Medicaid Oklahoma?
The 835 payer ID for Medicaid Oklahoma is SKOK0 via Stedi.
What is the 270 payer ID for Medicaid Oklahoma?
The 270 payer IDs for Medicaid Oklahoma are SKOK0 via Stedi and OHCA1 via Availity.
What state does Medicaid Oklahoma operate in?
Medicaid Oklahoma operates in OK.
Routing reference
Medicaid Oklahoma payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Medicaid OklahomaSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | OKSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | SKOK0Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | SKOK0Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | SKOK0Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | SKOK0Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | OHCA1Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicaid Oklahoma. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched record: MEDICAID OKLAHOMA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Medicaid Oklahoma. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Medicaid Oklahoma phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Payer phone
- (405) 522-6205OHCA1, OKLAHOMA HEALTH CARE AUTHORITY
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(405) 522-6205 |
| ||
| phone(800) 522-0114 |
|
Phone and fax numbers sourced directly from the payer response