Loading page
A better health insurance experience for providers, too
Healthcare is complicated, but managing your network partnership shouldn’t be. Access the resources, support, and digital tools built to keep your workflows fast, your admin light, and your focus on your patients.
Provider Services: (855) 672-2755, Option 4, Monday - Friday 8 a.m. - 6 p.m.
Provider UM Support: (855) 672-2755, Option 4, Monday - Friday 8:30 a.m. - 5 p.m.
Portal shortcuts
Shortcuts to save time and get stuff done
Already in the Oscar network? Use these quick links to get where you need to go fast.
Resources
Easy access to essential tools
Instantly see everything you need to navigate our plans, coordinate member care, and work with Oscar easily every day.
Provider manual
Your foundational guide to the Oscar network, including our clinical guidelines, care management programs, and operational procedures.
Reimbursement & payment policies
Access transparent guidelines on payment rules by service line. So you get paid accurately and on time.
Medical guidelines
See the most up-to-date clinical criteria we use to approve prior authorizations and review medical, surgical, and behavioral health coverage.
Pharmacy guidelines
Check the full Oscar formulary, look up drug tiers, and see exactly what’s required for step therapy and prescription approvals.
Essential forms
Skip the hunting. Access fillable PDFs for prior authorizations, appeals, and more instantly.
Roster management
Keep your provider directory current and compliant. Seamlessly update your clinicians’ panel status with our roster template and submission portal.
Onboarding materials
New to the Oscar network (or need a refresher)? Grab our welcome kit, quick-start guides, or register for our monthly onboarding session to get your team up to speed fast.
Quality improvement tools
Access HEDIS® reference guides, STAR best practices, and office materials designed to elevate your clinical performance and member experience ratings.
Provider newsletter
Subscribe for monthly network updates, policy changes, and helpful tips sent straight to your inbox. Or browse the full archive to stay in the loop.
Why Oscar
Why providers pick Oscar
Portal integrations that meet you where you are
Stop losing hours to admin lags. View claims, verify member eligibility, and upload forms 6 times faster than traditional platforms.
Claims paid in as little as 5 days
Our fast billing process doesn’t mess with the usual holdups. So payments land in your account in days, not months.
21x higher member satisfaction
Oscar members are happy, engaged members. That means more direct appointments and stronger loyalty to your practice.
Seamless integrations
Work exactly how you want to. We plug directly into your current EMR, data feeds, and scheduling tools.
Dedicated provider services team
Our specialized support team is on standby to handle operational bottlenecks, fast-track escalations, and keep your practice running smoothly.
Contract with Oscar in 4 simple steps
Join the network
We’ve streamlined our contracting process so you can get back to what matters most: treating your patients.
- 01Request: Submit a brief request form to introduce your practice to the Oscar team.
- 02Align: We’ll check your location and specialty to ensure strong local demand. If it's a fit, we'll reach out to kick off the contract process.
- 03Verify: We’ll confirm your credentials (like NPI, licensure, DEA, and malpractice).
- 04Practice: We'll finalize your contract and lock in the official date you go live.
Contact
Any questions? We’re on it.
Contact
Any questions? We’re on it.
Skip the phone menus and long wait times. Get a direct line to the team that can handle your request fast. For eligibility, billing, claims, and prior authorization questions, call: (855) 672-2755, Option 4.
- For credentialing questions:
- For questions about roster submissions:
The Oscar standard
Great care is built on trust, equity, and access. We back your team with the tools and training to deliver a top-tier patient experience every single day.
Access free, on-demand interpreter services for Limited English Proficiency (LEP) members. Meet CLAS standards while making every patient feel at home.
Deliver care that truly connects. Stay at the forefront of inclusive, high-quality care with our cultural competency training resources.
Be there when your patients need you most with consistent scheduling windows and structured after-hours messaging standards.
Seamlessly integrate behavioral health into primary care with ready-to-use screening tools, coordination checklists, HEDIS summaries, and best practice.
Frequently asked questions
Fast answers for busy teams
Get quick answers to the questions providers ask most.
That’s great news! If you’re an out of network provider and you'd like to join the Oscar network, just submit this request form.
We get a lot of submissions and each one is assessed based on current network provider needs, so it may take us several business days to respond. Hang tight, and we’ll be in touch.
Our credentialing process for new providers takes up to 45 days after we receive all required applications and documents. You can check your status on our credentialing tool. Or, right in our directory at hioscar.com/search. If you’re not in the directory after 45 days, just send us a message at credentialing@hioscar.com and we’ll look into it.
We’re here for you. Just message us at credentialing@hioscar.com and include your name and NPI. We’ll look into things and get back to you within 3 business days.
Here’s how to find our reimbursement policies:
- Go to Oscar Provider Manual.
- Select your state from the top left hand dropdown.
The reimbursement policies listed include diagnosis and procedure code billing, and payment guidance. Plus, they may help you see how a claim has been processed.
First, reach out to your organization’s office manager and check if your group has already set up an Organization Administrator account. If so, they can send you an invite to set up your own account.
If you’re the first person in your organization to create an account, follow these steps:
- Visit provider.hioscar.com.
- Select Create Account and register with an email associated with your organization.
- Then, follow the steps to create the account. If you’re the Organization Administrator for your group, you’ll need some information about your organization. Once you’re set up with your account, you can invite other teammates to create their own under your group.
Different types of profiles have different permissions within the Oscar Provider Portal. So, if you’re not seeing something you think you should be seeing, ask your Portal Administrator to take a look at your permissions.
The Portal Admin can enable more permissions in your profile, if needed.
If you need help identifying the admin of your existing portal account, just call our Provider Services team.