Skip to main content
CredNet

Oxford

dentalmedicalvision

Summary

Oxford is a dental, medical, and vision payer operating in Connecticut, New Jersey, and New York. Claims route under payer ID 06111, with 6 alternate IDs in use across clearinghouses. 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
06111Also seen as 06111MA, 10161, 6111, 6485, 6549, OXFORD
Also known as
Oxford Health Plans, UnitedHealthcare Oxford
Service area
CT, NJ, NY

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Oxford?
The payer ID for Oxford is 06111. Alternate IDs seen across clearinghouses include 06111MA, 10161, 6111, 6485.
Does Oxford require ERA enrollment?
Yes. Oxford requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Oxford cover?
Oxford operates in CT, NJ, NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Oxford offer?
Oxford covers dental, medical, and vision.
Can I submit claims to Oxford electronically?
Yes. Oxford is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.