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Oklahoma Department of
Human Services
Stronger Families Grow
Brighter Futures
Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org
 
 
 
317:30-3-20. Appeals procedures (excluding nursing homes and hospitals)
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Revised 3-1-06


     OHCA has established administrative procedures whereby a medical provider may request a review of the decision of the amount paid or the non-payment of medical services provided an eligible recipient. If the medical provider does not agree with the original payment from the Fiscal Agent, he/she may submit a written explanation as to why the adjustment is being requested and what action is to be taken, a copy of the paid remittance statement and/or detailed explanation of the paid information and a copy of the original claim with the corrections to be made for consideration of additional payment.  The claim should be filed in accordance with the instructions in the OAC 317:30-7 for the type of medical provider involved.



Last Updated:  8/18/2008
Oklahoma Department of Human Services
Street address: Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646
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