How To Submit Claims To Oscar Insurance Corporation

For Oscar Insurance Corporation, 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 directs providers to use the Provider Portal for claims-related workflows, and its provider marketing/pages emphasize portal access for claims, eligibility, authorizations, and documents. During the Change Healthcare outage, Oscar stated it could ingest claims through Availity and that providers submitting by EHR/clearinghouse not using Change Healthcare could continue standard submission. It also stated paper claims could be mailed through standard process. Public pages reviewed did not expose a universal payer ID, a single paper-claim mailing address, or a full standard electronic claims routing guide.

Submission channels

• Provider Portal
• Electronic clearinghouse / EHR (standard process, with Availity noted during outage communications)
• Mail (standard process referenced during outage communications)

Electronic claims payer IDs

• Not clearly published in the researched sources.

Paper claims addresses

• Not clearly published in the researched sources.

Corrected claims and follow-up

• Use the Provider Portal to submit claims-related documents and disputes where applicable.

• For claims disputes, Oscar says the portal is the easiest way to submit and track the dispute.

• During the Change Healthcare outage, Oscar instructed providers to use the Provider Portal or fax 888-977-2602 to return additional information requested for claims processing.

• Claims status resource 1

• Claims status resource 2

• Claims status resource 3

Caveats

• The reviewed official pages do not provide a single universal claims mailing address or payer ID.
• Claims routing details may vary by clearinghouse, market, and whether the claim is under Oscar Plans or another Oscar-administered product.
• The fax number 888-977-2602 was confirmed in outage communications for returning additional information, not as a universal claims submission destination.

Provider resources

• Oscar Providers landing page (official)
• Provider Resources (official)
• Provider Portal login / access (official)
• Prior Authorization List (official)
• Provider Cover Forms (official)
• Change Healthcare outage provider resource center (official)
• Join Our Network (official)

Sources