How To Submit Claims To Oscar Insurance Company of Florida

For Oscar Insurance Company of Florida, the practical claims workflow usually starts with electronic submission guidance and only falls back to paper instructions when the payer documents a mailing address for specific claim types or exceptions. The details below keep the workflow broad instead of reducing it to a single address.

At a glance

• Oscar’s provider portal supports claims-related workflows, and Oscar states providers can submit claims by mail through standard processes. During the Change Healthcare outage, Oscar also used Availity as an alternate clearinghouse. Florida’s supplement gives a claims/document mailing address and fax number for requested documentation. The available official sources did not expose a complete current electronic payer ID list.

Submission channels

• provider portal
• mail
• fax
• electronic clearinghouse / Availity during the Change Healthcare outage context

Electronic claims payer IDs

• Not clearly published in the researched sources.

Paper claims addresses

• Oscar Health, Inc. PO Box 52146, Phoenix, AZ 85072-2146

Corrected claims and follow-up

• Use Oscar’s Provider Cover Form for claims disputes and submit through the provider portal when possible.

• Florida supplement: submit updated/corrected claim within 180 calendar days of last date of service when prior claim information changes.

• Claims status resource 1

Caveats

• The official sources reviewed did not provide a single current, Florida-specific paper claim submission address for all claim types; the Florida supplement address is for requested documentation, not clearly for initial claim submission.
• Electronic payer IDs were not found in the official sources reviewed.
• Some claims handling details are contingent on delegated vendors and payer workflow changes over time.

Provider resources

• Provider Resources (official)
• Provider Portal overview (official)
• Prior Authorization List (official)
• Prior Authorization Turnaround Times (official)
• Provider Cover Forms (official)
• Florida Provider Manual Supplement (2023) (official)
• Change Healthcare Outage Provider Resource Center (official)

Sources