Oscar Health Maintenance Organization of Florida, Timely Filing Limit

The most important thing to confirm with Oscar Health Maintenance Organization of Florida, is not just the number of days, but also what event starts the clock. Some payer documents measure from date of service, some from discharge, and some publish different rules for corrected claims or appeals.

At a glance

• Oscar did not surface a plan-wide Florida timely-filing rule in the official sources reviewed. The only explicit timely-filing language located was a Change Healthcare outage notice granting a temporary 7-calendar-day extension for affected claims deadlines during a defined period in 2024.

Initial claim filing limits

• Temporary outage-related exception: claims with timely-filing deadlines falling between February 21, 2024 and March 6, 2024 were not denied if received by March 7, 2024.

Corrected claim filing limits

• Not clearly published in the researched sources.

Appeal and reconsideration deadlines

• Not clearly published in the researched sources.

Trigger basis and caveats

• This was a contingency extension tied to the Change Healthcare outage, not a general standing filing limit.
• The source does not provide a normal Florida filing deadline for initial, corrected, or appealed claims.
• No general timely filing deadline was verified from official Florida payer/provider materials in the sources reviewed.
• Do not assume the outage extension applies outside the stated dates.
• If a Florida-specific provider manual exists behind the portal, it was not directly retrievable here.

Provider resources

• Providers landing page (official)
• Provider Resources (official)
• Provider Portal login (official)
• Prior Authorization List (official)
• Prior Authorization Turnaround Times (official)
• Provider rosters (official)
• Provider Cover Forms (official)
• Change Healthcare Outage: Provider Resource Center (official)
• Welcome Packets (official)

Sources