© Copyright 2020 | All rights reserved. Frequent face-to-face Member and caregiver/family member interactions that identify Member care preferences and allow time for important care decision discussions and counseling.

Our Care Management team work with you and your patients to create a treatment plan for their complex health care needs. Through the NaviNet portal, you have access to the following: The Clinical Care Management Program (CCMP) allows us to communicate more effectively with your office regarding high-risk members with missed diagnosis codes. Fax: 1-844-280-5360. American Health Advantage of Oklahoma provides Medicare Part D prescription drug coverage through our partner EnvisionRx. The American Health Advantage of Oklahoma Model of Care focuses on providing a unique level of customized clinical care and services for residents in nursing facilities.
And we are committed to simplifying the administration of health insurance so our Providers can devote their attention to providing high-quality health care. 201 Jordan Road, Suite 200 Health Partners Plans (HPP) currently provides convenient and secure access to important transactions, news, and information through two portals: NaviNet Open and HP Connect. Our emphasis is on encouraging proactive health care and offering programs and services that can make a difference in our Members/your patients’ quality of life. AllWays Health Partners staff is available at 855-444-4647 Monday-Friday (8:30 AM - 5:00 PM EST).. For urgent prior authorization requests outside of regular business hours (including weekends and holidays), please contact at 1-855-444-4647 and follow the prompts.. Email: providerservice@allwayshealth.org Sign up for our newsletter

At American Health Advantage of Oklahoma, we specialize in improving health care and advancing a truly unique philosophy of care to meet the complex needs of the institutional Medicare beneficiary population, while simultaneously streamlining administrative functions for our Providers. – 5:30p.m.). How to File an Organization Determination, How to Obtain an Aggregate Number of Appeals, Grievances and Exceptions, How to Appoint a Representative to File a Grievance or Complaint, How to End Your American Health Advantage of Oklahoma Benefits, Institutional Special Needs Plan Model of Care and Training, Become a American Health Advantage of Oklahoma Network Provider, Medicare FWA and General Compliance Training, Provider Frequently Asked Questions (FAQs), Services that Require Prior Authorization, Request for Claim Reconsideration Determination, Current Member Part D Prescription Drug Benefits, How to Request a Coverage Determination, Redetermination, or Grievance, Access Formulary and Prior Authorization Forms at, Select “Prescribers” and click on “Prior Authorization”, Enter your NPI number and State to access the prescriber portal, Refer to the Prescription Drug Benefit page for formulary, prior authorization criteria, and step therapy criteria, Access payer sheets and other information at, Select “Pharmacies” and click “Pharmacies Login”, Enter your NPI number and NCPDP number to access the pharmacy portal.

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