Oxford Health Plans
Also covers / subsidiaries: Oxford, UnitedHealthcare Oxford, OHP
Core Payer & Clearinghouse Profile
Electronic Payer ID
06111
Primary Oxford EDI ID; newer Oxford cards may route to UHC payer ID 87726 — verify against the member card.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Availity, Change Healthcare, Office Ally
Provider Services
800-666-1353
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Oxford Claims Department, P.O. Box 31386, Salt Lake City, UT 84131 (defer to member card)
Provider Portal
https://www.uhcprovider.com
UnitedHealthcare regional commercial brand for the NY/NJ/CT tri-state area; claims, eligibility, and appeals now run through uhcprovider.com.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Oxford Health Plans.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Oxford Health Plans.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Oxford Health Insurance Inc | 06111 | Non-Par | Required | 837P837I835 ERA |
| Oxford Health Plans | 06111 | Non-Par | None | 837P837I835 ERA |
| Oxford Health Plans | 10161 | Par | None | 837P837I270/271276/277Dental |
| Oxford Health Plans | 20199 | Non-Par | None |
Resolution Tools for Oxford Health Plans 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 Oxford Health Plans Denials & Delayed Payments?
Aethera's billing specialists work Oxford Health Plans every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.