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American Health Advantage of Oklahoma

medicalvision

Summary

American Health Advantage of Oklahoma is a medical and vision payer operating in Oklahoma. Claims route under payer ID 31125, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
31125Also seen as 1027, 14397, 7854
Also known as
American Health Plans, Tribute Health Plan Oklahoma
Service area
OK

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for American Health Advantage of Oklahoma?
The payer ID for American Health Advantage of Oklahoma is 31125. Alternate IDs seen across clearinghouses include 1027, 14397, 7854.
Does American Health Advantage of Oklahoma require ERA enrollment?
Yes. American Health Advantage of Oklahoma requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does American Health Advantage of Oklahoma cover?
American Health Advantage of Oklahoma operates in OK. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does American Health Advantage of Oklahoma offer?
American Health Advantage of Oklahoma covers medical and vision.
Can I submit claims to American Health Advantage of Oklahoma electronically?
Yes. American Health Advantage of Oklahoma is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.