Oscar Ins Co of Texas Timely Filing Limit

Manual review required. Do not use unconfirmed instructions to submit a request or claim.

• Missing claim filing limit details.

Coverage: Oscar Texas; distinguish Guided Care HMO.

Oscar Ins Co of Texas filing limits depend on the plan, provider agreement, and event that starts the filing period. Confirm each item in the official provider resources before submission.

At a glance

• The July 2025 affiliate provider manual defers initial filing to state law unless the agreement specifies otherwise. Corrections must meet the original filing period.

Initial claim filing limits

• Not clearly published in the researched sources.

Corrected claim filing limits

• Not clearly published in the researched sources.

Appeal and reconsideration deadlines

• Florida/Texas provider disputes: 365 days from receipt of EOP, unless the agreement controls otherwise.

Trigger basis and caveats

• Historical July 2025 manual; current agreement and state supplements control. The 90-day requested-information period is not an initial filing limit. No blanket initial number verified.
• Corrected claims must be received within the original applicable filing period; confirm state supplement and agreement.

Provider resources

• Official provider policy or review source (official)
• Official provider policy or review source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Reviewed the October 2026 authorization list and July 2025 affiliate manual. Removed expired outage extensions and claim-processing periods misclassified as filing deadlines. Initial filing requires state/contract confirmation.