Oklahoma Workers' Compensation Court of Existing Claims

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Certified workplace medical plans
Providers and Dispute Forms

Plan Providers and Dispute Resolution Forms As of June 1, 2009
CWMP Name and Address	Provider Directory	Dispute Resolution Form
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	www.corvel.com Click on "Provider Look-up".	Click Here
Coventry Workers’ Comp Services 5130 Eisenhower Boulevard Suite 150 Tampa, FL 33634 Telephone: 813-806-2151	Coventry/First Health Network Coventry/Focus Network	Click Here
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	Click Here	Click Here
IntraCorp 11095 Viking Drive Suite 520 Eden Prairie, MN 55344 Telephone: 800-803-0344	Click Here	Click Here
WorkNet of Oklahoma P.O. Box 3206 Tulsa, OK 74101-3206 Telephone: 800-616-8443 or 918-594-5288 www.ccok.com/worknet	www.ccok.com/worknet Click on "WorkNet Provider Directory".	www.ccok.com/worknet Click on "WorkNet Forms & Resources", then click "Dispute Resolution Form".

Certified workplace medical plans Providers and Dispute Forms

Certified workplace medical plans
Providers and Dispute Forms