Managed Care Systems Forms and Reports

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Forms

Workplace Medical Plan, ODH Form 621 (21k)

Independent Review Organization Certification, ODH Form 611 (15k)

Certified Workplace Medical Plan Complaints, ODH Form 945 (16k)

Reports

List of Licensed HMO (141k)

List of Certified Workplace Medical Plans (12k)

List of Certified Independent Review Organizations (22k)

Contact Information
John W. Judge, Jr.
Managed Care Systems
Health Resources Development Service
1000 N.E. 10th Street, Room 1011
Oklahoma City, OK 73117
Main  405.271.6868
Direct  405.271.9444, extension 57273
Fax  405.271.7360
E-mail   JohnWJ@health.ok.gov