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MIKE FOGARTYFRANK KEATINGCHIEF EXECUTIVE OFFICERGOVERNORSTATE OF OKLAHOMA HEALTH CARE AUTHORITYOHCA 200215RETAIN THIS IMPORTANT INFORMATION Date Name Address 2 City, ST Zip Subject: New Provider ID

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How to fill out soonercare general provider agreement

01

Download the Soonercare General Provider Agreement form from the official website.

02

Fill out the provider's information section including name, address, contact details, and provider type.

03

Provide information about any other organizations or individuals associated with the provider.

04

Complete the agreement sections including sections for services provided, rates, and payment terms.

05

Sign and date the agreement, ensuring all required fields are filled out accurately.

06

Submit the completed Soonercare General Provider Agreement form to the appropriate department for processing.

Who needs soonercare general provider agreement?

01

Healthcare providers and organizations that wish to participate in the Soonercare program as providers need to fill out the Soonercare General Provider Agreement.

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What is soonercare general provider agreement?

The SoonerCare general provider agreement is a contract between a health care provider and the Oklahoma Health Care Authority, outlining the terms and conditions for providing services to SoonerCare members.

Who is required to file soonercare general provider agreement?

All health care providers who wish to participate in the SoonerCare program are required to file a general provider agreement.

How to fill out soonercare general provider agreement?

Health care providers can fill out the SoonerCare general provider agreement online through the Oklahoma Health Care Authority website or by contacting the provider enrollment department.

What is the purpose of soonercare general provider agreement?

The purpose of the SoonerCare general provider agreement is to ensure that health care providers meet certain standards and guidelines in order to participate in the SoonerCare program.

What information must be reported on soonercare general provider agreement?

Health care providers must report their credentials, contact information, services offered, billing information, and compliance with state and federal regulations on the SoonerCare general provider agreement.

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