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ProviderResources ClaimsSubmission
Oscar Health·Claims & Billing
We identified it
May 9, 2026
Summary
This policy clarifies Oscar Insurance Company's claims submission procedures, emphasizing electronic submission via Availity, Eligible, or Change Healthcare using payor ID 'OSCAR' as the preferred method. Paper UB-04 or CMS 1500 claims should be mailed to Oscar's Phoenix address if electronic submission is not possible. The policy directs providers to state-specific provider manuals for detailed information on timely filing, denials, and specialty services (behavioral health, pharmacy, pediatric vision/dental), with a separate CMS provider manual for Medicare Advantage claims.
Action Required
Ensure your billing vendor or software (Availity, Eligible, or Change Healthcare) has Oscar's payor ID 'OSCAR' configured in their system for electronic claims submission. If electronic submission cannot be established, confirm your team knows to submit paper claims (UB-04 or CMS 1500) to Oscar Insurance Company, PO Box 52146, Phoenix, AZ 85072-2146. For specialty-specific claims guidance (behavioral health, pharmacy, pediatric vision/dental), direct staff to reference the applicable state provider manual at hioscar.com/providers or call (855) 672-2755. No immediate action is required unless your practice currently has configuration issues with electronic submission.