Credentialing & Enrollment Services in Oklahoma

CapitalMed Solutions provides expert provider credentialing and enrollment support tailored for healthcare practices across Oklahoma streamlining SoonerCare onboarding, ensuring regulatory compliance, and minimizing claim denials.

Why Oklahoma Providers Trust Our Credentialing & Enrollment Services?

Online Enrollment via SoonerCare Provider Portal: Providers register through the SoonerCare Provider Enrollment Portal (EPE), the official platform for enrolling businesses, facilities, individuals, and groups into Oklahoma Medicaid, including SoonerCare Fee-for-Service, SoonerPlan, and SoonerCare Choice. You can save your application, resume it, and upload required supporting documentation based on provider type.

Fast Processing for Clean Submissions: Complete and accurate applications are typically reviewed within 15 business days, and renewals during peak periods may take 30–40 business days.

On-Site Screening for High-Risk Providers: Some providers, depending on their risk level, may be required to undergo unannounced on-site visits by the Oklahoma Medicaid Audit & Compliance (MMAC) team under 42 CFR Part 455.

Credentialing & Enrollment Services We Offer in Oklahoma

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Oklahoma—including Oklahoma City, Tulsa, Norman, Broken Arrow, Edmond, Lawton, Moore, Midwest City, Enid, and Stillwater. Our specialty credentialing and payer enrollment services cover anesthesiology, radiology, cardiology, orthopedics, primary care, pediatrics, and more—helping practices statewide gain network participation efficiently.

Whether requirements are national or Oklahoma-specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. For each specialty, we deliver tailored credentialing solutions that reduce delays, prevent denials, and streamline your revenue cycle.

Our Credentialing & Enrollment Process in Oklahoma

Guide your team through portal registration, including first-time user onboarding or use of existing SoonerCare IDs.

Help complete and submit enrollments with accurate documentation and ensure proper storage of partially completed forms (35-day auto-save window)

Assist with supporting documents (e.g., licenses, W-9, tax forms, contracts) faxed per portal instructions.

Monitor application status and manage responses via the portal to address feedback or requests efficiently.

If applicable, support and coordinate with MMAC for compliance-based site visits.

Oversee renewal cycles, ensuring re-enrollment before expiration to maintain provider status.

After Medicaid enrollment, facilitate credentialing with models like SoonerSelect networks via MCOs such as Aetna Better Health, Humana Healthy Horizons, and Oklahoma Complete Health, using centralized credentialing where available.

Benefits of Choosing Us for Credentialing Services in Oklahoma

  • Faster Enrollment Turnaround: Clean, guided submissions help streamline onboarding in as few as 15 business days.
  • Administrative Relief: End-to-end support—from documentation to site-screening coordination—lets your staff focus on patient care.
  • Regulatory Confidence: We ensure your practice meets MMAC risk-screening and retention requirements.
  • On-Time Recredentialing: Timely renewals help maintain continuous billing privileges.
  • Easy MCO Access: Post-enrollment readiness for SoonerSelect network submission enhances payer network access.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Oklahoma

At CapitalMed Solutions, we partner with major insurance carriers across Oklahoma to ensure seamless provider credentialing and faster payer enrollment. Our strong relationships with leading payers help healthcare professionals get credentialed efficiently, stay compliant, and serve more patients with confidence.

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Sooner Care Credentialing & Enrollment Services in Oklahoma
Oklahoma Complete Health Credentialing & Enrollment Services in Oklahoma
Community care Credentialing & Enrollment Services in Oklahoma
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Cigna Credentialing & Enrollment Services in Oklahoma
United Health Care Credentialing & Enrollment Services in Oklahoma
Medicare-Logo Credentialing & Enrollment Services in Oklahoma

Ready to simplify credentialing in Oklahoma?

Reach out to our credentialing specialists today we’ll manage your SoonerCare enrollment via the EPE portal, support renewals, coordinate any on-site screenings, and prepare you for smooth integration with Oklahoma’s MCO networks so you can focus on delivering best-in-class patient care.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478