Oscar Health

Summary

Oscar Health is a regional health plan, part of Oscar Health, Inc., offering dental and medical coverage operating in 18 states. Claims route under payer ID OSCAR, with 4 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Oscar Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

OSCARAlso seen as 10881, 7468, 9638, OSCARMA

Uses CAQH

YesApplication route: Payer portal application

Service area

18 states

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Oscar Health?

The payer ID for Oscar Health is OSCAR. Alternate IDs seen across clearinghouses include 10881, 7468, 9638, OSCARMA.

How long does Oscar Health provider enrollment take?

Oscar Health provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Oscar Health require CAQH?

Yes. Oscar Health uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Oscar Health require ERA enrollment?

Yes. Oscar Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Oscar Health cover?

Oscar Health operates in 18 states. Coverage can differ by plan and product line, so confirm the specific plan before you file.