Oscar Insurance Company of Florida
Oscar Insurance Company of Florida Timely Filing Limit
For Florida, Oscar’s state supplement says in-network providers should follow their contracts; absent a different contract deadline, the timely filing…
Short answer
For Florida, Oscar’s state supplement says in-network providers should follow their contracts; absent a different contract deadline, the timely filing deadline is 180 calendar days from the last date of service. Out-of-network Florida providers also have a…
Oscar Insurance Company of Florida's first published filing rule in the reviewed sources is: Florida in-network: 180 calendar days from last date of service unless contract specifies אחרת. Confirm the plan, provider agreement, and event that starts the filing period before submission.
At a glance
- For Florida, Oscar’s state supplement says in-network providers should follow their contracts; absent a different contract deadline, the timely filing deadline is 180 calendar days from the last date of service. Out-of-network Florida providers also have a 180-day deadline unless another state mandate controls. A separate Oscar disruption notice granted a temporary 7-calendar-day extension for claims with deadlines between February 21, 2024 and March 6, 2024 if received by March 7, 2024.
Initial claim filing limits
- Florida in-network: 180 calendar days from last date of service unless contract specifies אחרת
- Florida out-of-network: 180 calendar days from last date of service unless another state law controls
Corrected claim filing limits
- Florida supplement allows an updated/corrected claim within 180 calendar days of last date of service when claim information changes
Appeal and reconsideration deadlines
- Not clearly published in the researched sources.
Trigger basis and caveats
- Florida supplement ties timely filing to the last date of service.
- The change-healthcare outage notice created a temporary exception tied to the missed filing deadline window, not a standing policy.
- The Florida supplement is from 2023 and should be checked against current contracts and current provider materials.
- Appeal deadlines were not located in the official sources reviewed.
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
| Fact | Value | Source | Confidence |
|---|---|---|---|
| Florida timely filing for in-network providers | 180 calendar days from last date of service unless contract says otherwise | Official | high |
| Florida timely filing for out-of-network providers | 180 days from last date of service unless other state law controls | Official | high |
| Temporary filing extension during Change Healthcare outage | 7 calendar days for claims whose deadline fell between February 21, 2024 and March 6, 2024, if received by March 7, 2024 | Official | high |
| Corrected claim timing | Updated claim within 180 calendar days of last date of service when prior claim information changes | Official | high |
Last reviewed: March 27, 2026
Sources used: 2 official
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