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Plan Providers and Dispute
Resolution Forms
As of June 1, 2009
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| CWMP
Name and Address |
Provider Directory |
Dispute Resolution Form |
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CompCHOICE
PO Box 238800
Oklahoma City, OK 73123
Telephone: 800-822-1852 or
405-848-3595
www.CompCHOICE.com
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www.compchoice.com
Click on "Provider Directory".
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www.compchoice.com
Click on "Forms".
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CorVel
10900 Hefner Pointe Drive, Ste 410
Oklahoma City, OK 73120
Telephone: 800-496-3385 or
405-254-2441
Fax: 866-915-1115
www.corvel.com
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www.corvel.com
Click on "Provider Look-up".
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Click Here
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Coventry Workers’ Comp Services
5130 Eisenhower Boulevard
Suite 150
Tampa, FL 33634
Telephone: 813-806-2151
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Coventry/First Health Network
Coventry/Focus Network
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Click Here
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Genex Services, LLC
d/b/a Genex Care for Oklahoma
6303 N Portland Avenue Ste 210 Oklahoma City, OK 73112
1-800-248-4363
www.genexservices.com
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Click Here
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Click Here
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IntraCorp
11095 Viking Drive
Suite 520
Eden Prairie, MN 55344
Telephone: 800-803-0344
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Click Here
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Click Here
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WorkNet of Oklahoma
P.O. Box 3206
Tulsa, OK 74101-3206
Telephone: 800-616-8443 or
918-594-5288
www.ccok.com/worknet
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www.ccok.com/worknet
Click on "WorkNet Provider Directory".
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www.ccok.com/worknet
Click on "WorkNet Forms & Resources", then click "Dispute
Resolution Form".
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