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Provider Rosters

Learn more about Oscar's roster submission process and requirements.
Care team
Provider Manual | Practitioner Roster Template | Provider Portal | Facility Roster Template | Illinois Uniform Directory TemplateOscar requires updated rosters from providers or delegated entities to maintain accurate information in our online directory. We encourage you to use one of our templates or update your current format to match our template. Please submit all rosters to rosters@hioscar.com(mailto: rosters@hioscar.com)Every 120 days, you or your credentialing delegate must review, update, and attest to the provider information in CAQH and changes must be reported at least 30 days before they take effect. You may access the most current information we have for you at www.hioscar.com/search.For providers credentialed through Oscar, submit demographic changes via your next roster file, the Provider Portal, or by calling Provider Services at 1-855-OSCAR-55 (Option 4). For providers who have a delegated credentialing agreement, changes should be submitted in the delegated entity’s next roster submission.Ensure accuracy for:
  • CAQH ID
  • TIN and NPI
  • PCP status
  • Accepting new patients status
  • Practice location addresses
  • Office phone numbers and emails
  • Group and facility affiliations
  • Specialties
  • Licenses
  • Languages spoken
  • Ages served
  • Office hours
  • ADA accessibility
  • Telehealth services

FAQs

    • We strongly encourage providers to use Oscar’s new Standard Roster Template; however, you may use alternative formats as long as they are aligned with the expectations, delineated below.

    • You may enter the letters “Y”/ “N”, or the full words “Yes/ “No”.

    • We strongly encourage providers to adhere to the industry standard NUCC codes but we will accept specialty names if necessary.

    • No, you do not. You can have less than five languages, but should not have more than five. If you need to list more than 5 languages, then your provider should be duplicated onto a new row where you may list an additional 5 languages. You may continue this process until you have all necessary languages documented.

    • No, English does not need to be listed in a language column.

    • Yes, English is a default language for all contracted providers.

    • Yes, our provider directory will still recognize you as a PCP but you will not be eligible for automatic assignment of members. 

    • NUCC codes corresponding to the following specialties are considered PCP. Additional NUCC codes may be accepted based on state-specific PCP definitions:Adolescent MedicineFamily Medicine SCPGeneral Pediatric Internal MedicineGeneral Practice MedicineGeriatricianInternal Medicine SCPPrimary Care Nurse PractitionerVirtual Primary CareAdolescent Medicine Nurse PractitionerAdult Health Nurse PractitionerCommunity Health Nurse PractitionerFamily Nurse PractitionerGerontology Nurse PractitionerGynecologyInternal Medicine Nurse PractitionerMedical Physician AssistantNurse PractitionerOBGYN GroupOBGYN Physician AssistantObstetricsObstetrics & Gynecology Nurse PractitionerObstetrics and GynecologyPediatrics Nurse PractitionerPhysician AssistantWomen's Health Nurse Practitioner

Roster Submission Expectations

Required:
  • Only one file should be sent with all of the requested updates and data elements reflected on it
  • The singular file sent must either be a full file or changes (delta) file; not both
  • All roster updates must be sent in the singular file
  • Format of regular update files, sent on either a weekly or monthly basis, should be consistent. Any changes to the format, such as the addition, removal, or reordering of a column, should be communicated beforehand
Preferred:
  • File submission in .CSV or .XLSX format
  • If sending additions, terminations, and/or changes, these should all be in separate tabs
  • Multiple providers and office locations may be included on the same tab. Each service address should be designated by its own row.
  • One roster per email. If multiple rosters need to be sent, please send them in individual emails
Not accepted:
  • Sending multiple files with data elements on different files and/or in different formats
  • Sending a Word document, PDF, or screenshots
  • Using multiple delimiters in the file
  • Sending regular updates in a inconsistent formats
  • Merged cells in the file
  • Hidden columns and rows
  • Sending updates solely in the body of the email