Oscar Health
Also covers / subsidiaries: Oscar, Oscar Insurance
Core Payer & Clearinghouse Profile
Electronic Payer ID
10881
Alphanumeric 'OSCAR' used across clearinghouses; confirm with your clearinghouse and the member ID card by state/plan.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Most states 180 days from EOP (varies by state)
Clearinghouse Gateway
Availity, Change Healthcare, Eligible
Provider Services
855-672-2755
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Oscar, P.O. Box 52146, Phoenix, AZ 85072-2146 (varies by state/plan)
Provider Portal
https://provider.hioscar.com
Commercial ACA marketplace (individual/family and small-group) insurer. Timely-filing and appeal deadlines are state-specific — verify per the state provider manual.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Oscar Health.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Oscar Health.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Oscar | 10881 | Par | None | 837P837I270/271Dental |
| Oscar Health | OSCAR | Par | Required | 837P837I835 ERA |
Resolution Tools for Oscar Health Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Oscar Health Denials & Delayed Payments?
Aethera's billing specialists work Oscar Health every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.