Oklahoma Medical

Medicare of Oklahoma    

  • Direct- Trailblazers
  • Needs to be entered in Claimstaker
  • Vendor Submitter ID:   CH00037
  • Payer ID – 04302
  • Only need pages 1-8
  • Mail to Trailblazers
  • Approval Time – 20 Business days upon receipt of the paperwork

Medicare Enrollment Form

ERA Enrollment Form

Medicaid of Oklahoma    

  • Emdeon Link
  • No Enrollment Forms
  • Needs to be entered into GEMS
  • Payer ID – SKOK0

 

BCBS of Oklahoma    

  • Emdeon Link
  • No Enrollment Forms
  • Needs to be entered into GEMS
  • Payer ID – SB840

 

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region C)
  • ASHN

National Enrollment Forms