MedicaidAdministrativeHigh impact
Provider Letter 2024-14: RE: Taxonomy Compliance Edits
Oklahoma SoonerCare·OK·Provider Letter
Effective date
Jun 27, 2024
We identified it
Jun 20, 2026
Summary
Oklahoma Health Care Authority requires SoonerSelect providers to use exact taxonomy codes from the OHCA State Provider Master File instead of commercial market taxonomy codes when submitting claims. Mismatched taxonomy codes are causing claim delays and denials.
Action Required
Immediately: Billing team must log into OHCA provider portal to verify current taxonomy codes on State Provider Master File. Update billing system and clearinghouse settings to use exact OHCA taxonomy codes (not commercial market codes) for all SoonerSelect claims to Aetna Better Health of Oklahoma, Humana Healthy Horizons in Oklahoma, and Oklahoma Complete Health. Ensure billing NPI, rendering NPI, service address, and taxonomy codes exactly match OHCA records. Failure to use correct taxonomy codes will result in claim delays and denials.