PROVIDERS

GlobalHealth providers are an always-growing team of healthcare professionals united by one goal - helping GlobalHealth members live their healthiest lives possible.

Important Notice to Providers

View the Provider Manual (Revised Jan 2018).

Why Contract with GlobalHealth?

• Quality Shared Savings Program with Substantial Provider Payouts
• Reduction in Collection Costs with Simple Copay System
• We Remove Barriers for Members to See Their Providers
• Preventive-Focused Encouraging Care
• Local, Oklahoma-Based Health Plan

Find all the resources you need as a provider right here, from policies and guidelines to forms and other resources. Get answers to questions on the Providers’ FAQ page or contact Customer Care. Not only is GlobalHealth known for personal service to our members, we also take care of our providers!

GlobalHealth offers the following products:

• Plan for State, Education and Local Government Employees
• Plan options for Federal Employees
• Plans for Medicare-eligible beneficiaries – Generations Medicare Advantage Plans
• Plan for Medicare-eligible State of Oklahoma Retirees – Generations State of Oklahoma Retiree Medicare Advantage Plan
• Plans for Small and Large Groups

Important Changes Effective November 3, 2016: GlobalHealth implements new claims editing system. Click here to read full details.

Commercial Prescription Referral Information

To request a prescription referral, please access our prior authorization forms. For assistance, you may contact the Pharmacy department at (918) 878-7361, 8am – 5pm, Monday - Friday, to speak to a representative from the pharmacy department. If no one is available, please leave a message and your call will be returned as soon as possible. You may also fax the information to us at (405) 280-5613.

Medicare Coverage Determinations Information

To request a coverage decision for Part D Prescription Drugs, contact the Pharmacy Benefit Manager, CVS Caremark, by calling (866) 494-3927 (TTY users call 711), 24 hours a day, 7 days a week, or writing:

CVS Caremark
Part D Coverage Appeals and Exceptions
Department MC 109
P.O. Box 52000
Phoenix, AZ 85072-2000