Workers compensation runs on a state fee schedule, state forms, and state timelines. A process that works in one state is frequently invalid one state line away, which is why it is so often the worst-performing segment of a practice’s A/R.
Claims for Oklahoma providers are adjudicated by Novitas Solutions (JH), which is also who hears the first level of appeal — so an appeal argument that works here works in every state that contractor covers.
At a glance
Medicare contractor
Novitas Solutions (JH)
Medicaid program
SoonerCare
Managed care
Limited comprehensive managed care
Auto injuries
Tort state — health plan sequencing applies
What changes in Oklahoma
Medicaid in Oklahoma runs as SoonerCare, and Oklahoma operates limited comprehensive managed care — so claims are largely billed to the state directly rather than to a plan, which is now the less common arrangement nationally.
What we do
- Bill against the applicable state fee schedule rather than your commercial rates
- Track authorization and reporting requirements specific to the jurisdiction
- Manage the documentation these carriers require and commercial payers do not
- Follow up on the longer payment cycles these claims run on
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your Oklahoma aging and denial mix.
Scope
A written scope and price before any work starts.
Transition
No gap in submission during the handover.
Report
Six numbers monthly, segmented by payer.
Workers Compensation Billing in Oklahoma — Frequently Asked Questions
Which Medicare contractor covers Oklahoma?
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Novitas Solutions (JH). That contractor adjudicates Medicare claims for Oklahoma providers, publishes the local coverage determinations that bind you, and hears the first level of appeal. An argument that works with them works across every state they cover.
Is Oklahoma Medicaid managed care?
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It runs as SoonerCare, and Oklahoma operates limited comprehensive managed care. Claims are largely billed to the state directly rather than to a plan, which is now the less common arrangement nationally and means one set of rules rather than several.
How are auto injuries billed in Oklahoma?
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Oklahoma is a tort state for auto injuries, so standard coordination of benefits applies rather than an auto carrier taking first position. The injury still has to be identified at registration, because liability coverage may be primary for the related care.
How is workers compensation billing priced in Oklahoma?
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A percentage of collections, banded by practice size, with a monthly minimum so a smaller practice is served properly rather than quoted a rate that does not cover the work. The Oklahoma rate card is on the state page.
Do we have to be located in Oklahoma to work with you?
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No — we work remotely with practices in all 50 states and DC. What matters is that somebody is tracking Oklahoma's rules against your actual claims: its Medicare contractor, its Medicaid structure, and its auto-injury sequencing.
What does workers compensation billing actually cover?
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bill against the applicable state fee schedule rather than your commercial rates, track authorization and reporting requirements specific to the jurisdiction, manage the documentation these carriers require and commercial payers do not, and the follow-up that goes with them. Comp claims are billed to the schedule that governs them and followed up on the timeline they actually run on.
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