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We will bill the patient's insurance for the
following carriers listed below. Please attach a copy
of the patient's
insurance card to the billing information form. Referring
physicians must obtain pre-authorization, as needed,
from the patient's insurance provider. The patient is
responsible for any percentage, co-payment, deductible,
or non-covered items.
Aetna HMO--Pre-authorization may be required
Aetna PPO--Some plans contracted with
LabCorp, DLO, or Quest please verify with insurance
BCBS and BCBS Federal
Bluelincs
Cigna--Some plans contracted with DLO please verify
with insurance
Community Care (PCCP network)
Custom Group Services
Evolutions
First Health--Some plans contracted with DLO or Labcorp
please verify with insurance
Healthchoice--Contracted
with DLO or Labcorp
Humana
Oklahoma Medicaid Fee For Service program
Oklahoma Medicaid Soonercare Rural Health program--Referral
from PCP required
Medicare--Based on medical necessity see list
Pacificare/Secure Horizons--Some plans require pre-authorization
please verify
Physicians Direct Network
Plico
Preferred Community Choice
PPO Oklahoma
Tricare Humana-Click here for more
information
United Healthcare--Some plans contracted with DLO or
Labcorp please verify with insurance
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