Prior Authorization Statistics - Prescription Drugs
In accordance with state laws requiring posting of utilization review statistics for transparency and disclosure purposes, Oscar publishes annual utilization review statistics and makes these reports available in a readily accessible format.
Prior Authorization Statistics - Prescription Drugs
- New Jersey
- 2025 New Jersey Prior Authorization Utilization Statistics
Footnotes
Generally, in-network Health Care Providers submit prior authorization requests on behalf of their patients, although Oscar members may contact their Concierge team at 1-855-672-2755 for Oscar Plans and 1-855-672-2789 for Cigna+Oscar Plans to initiate authorization requests and can check authorization status. In-network Health Care Providers can use Oscar’s Provider Portal at provider.hioscar.com or call 1-855-672-2755 for Oscar Plans and 1-855-672-2789 for Cigna+Oscar Plans to confirm authorization requirements for a specific code or service, or to submit an authorization request. For services where Oscar delegates utilization review, you will be transferred to or instructed to contact the appropriate vendor.*Cigna + Oscar coverage is insured by Cigna Health and Life Insurance Company. CA: benefits administered by Oscar Health Administrators. Other states: benefits administered by Oscar Management Corporation. Pharmacy benefits provided by Express Scripts, Inc. Cigna + Oscar health insurance contains exclusions and limitations. For complete details on product availability and coverage, please refer to your plan documents or contact a representative."