3% of collections. Flat. All 50 states.matt@onlycardiologybilling.com  ·  Mon to Fri, 9 to 5 Central
Oklahoma practices, Novitas rules first

Cardiology billing services in Oklahoma

Sources checked: . Sources and review scope.

Cardiology billing services in Oklahoma start with your Medicare contractor, Novitas, for jurisdiction JH. Its coverage rules for echo, nuclear and monitors can differ from other contractors'. We bill cardiology only, from Texas, at 3% of collections with no contract.

3% of collectionsNo setup feeNo contract

Cardiology billing services in Oklahoma: the Oklahoma City skyline and the Devon Tower
78452 · NovitasOklahoma · jurisdiction JHPaid
Oklahoma Medicare claims go to Novitas
01Medicare

How Novitas pays cardiology in Oklahoma

CMS lists Novitas for Medicare jurisdiction JH, which includes Oklahoma, Arkansas, Colorado, Louisiana, Mississippi, New Mexico, and Texas.

Medicare local coverage determinations are made by the contractor for its jurisdiction. Requirements may differ across jurisdictions, so we check the current applicable policy rather than assume a decision transfers.

We check each Oklahoma claim against applicable Novitas guidance before release. If documentation appears incomplete, we flag it for the practice to review; the treating clinician remains responsible for the record.

Held at our desk
Claim 33614Event monitor · 93268
As sent to usClaim 33614

No indication

Diagnosis code only, no reason in the note

Our checkHeld
After our checkClaim 33614

Query answered

Reason for the study confirmed by the doctor

Claim statusPaid
Indication documented before sending
02Payers

The Oklahoma payers we bill

Commercial schedules may include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare, Aetna, Cigna, and Humana. Medicare Advantage plans have their own coverage and authorization requirements; confirm the member's specific product.

SoonerCare, the state's Medicaid program, moved most members into SoonerSelect managed care in 2024. The SoonerSelect plans are Aetna Better Health of Oklahoma, Humana Healthy Horizons in Oklahoma and Oklahoma Complete Health. Some members stay in fee-for-service SoonerCare. We confirm which one holds the patient before each study.

Checked by program
Eligibility checkNuclear SPECT · 78452
  • SoonerSelect planManaged care, plan authorization rulesChecked
  • SoonerCareFee-for-service, billed to the stateChecked
  • BCBSOK PPOCommercial, its own authorization listChecked
  • Medicare AdvantagePlan rules, not NovitasChecked
  • AuthorizationOn file
SoonerCare or SoonerSelect, confirmed
03Your city

Cardiology practices we serve in Oklahoma City, Tulsa, Norman, Lawton

We're built for independent practices of 1 to 10 cardiologists with imaging in the office. That means echo and vascular labs, a nuclear camera, monitors and device checks.

Medicare physician fee schedule locality is tied to the applicable ZIP-to-carrier/locality mapping. We check the current CMS crosswalk for the service location rather than infer a rate from a city or statewide average.

How we post payments
Paid at the Oklahoma rate
Claim 33671Echo 93306 · POS 11
  • Payment posted against the Oklahoma rateChecked
  • Contract rate checked for commercial plansChecked
  • Short lines flagged at postingChecked
  • Appeal sent with the fee scheduleChecked
  • PaymentMatched
One rate across the state
04Switching

Switching from a local biller

Leaving a local biller, or a biller who left? The switch runs on a 60-day plan. Your claims keep moving from day one, and we work the old A/R in parallel.

Your dedicated biller learns your payers, your EHR and your doctors, and stays with your practice. You talk to someone who knows cardiology. Mon to Fri, 9 to 5 Central.

Your first 60 days with us
No gap in claims
Your switch60-day plan
  1. Day 1New claims go out daily
  2. Weeks 1 to 8Old A/R worked in parallel
  3. Day 60Your biller fully on the account
Claims keep moving from day one
05Questions

FAQ

Do you bill SoonerSelect plans?

Yes. We bill all three SoonerSelect plans and fee-for-service SoonerCare.

Do we need to change our EHR?

No. We work in the system you already have.

What does it cost?

3% of collections. No setup fee, no contract, no per-claim charges.

Sources and review context

Review context: Checked official CMS and Oklahoma Health Care Authority sources on September 30, 2026. This is an administrative source check, not a clinical review, a claim-level coverage determination, legal advice, or a payment guarantee. CMS's current fee-schedule page links a ZIP-to-carrier/locality file updated August 13, 2026; its separate Locality Key table is labeled 2024. No blanket 2026 locality or payment assertion is made here. Confirm the applicable locality, member program and plan, provider requirements, and authorization for each claim.

06Get in touch

Send us your last 90 days of claims

We review them by study and by payer, free, with no strings.

3% of collectionsNo setup feeNo contract

Free, no strings
Your 90-day Oklahoma reviewLast 90 days
  • Every claim, by studyIncluded
  • SoonerCare and SoonerSelect, paid or deniedIncluded
  • Checked against Novitas policyIncluded