Coverage profile
Work Oscar Health across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Oscar Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Oscar Health.
Other aliases
Also known as
- 10881
- 7468
- 9638
- OSCAR
- OSCARMA
2027 maternity billing research
When does Oscar Health change OB/GYN billing?
The cited Oscar maternity page describes member medical coverage and network requirements. It provides no global OB coding instructions or 2027 billing transition guidance and cannot establish whether Oscar has issued such guidance elsewhere.
- Transition start
- Not stated on cited page
- Billing start
- Not stated on cited page
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Oscar member-facing medical maternity and newborn coverage information; no Dental or comprehensive state/product billing applicability established.
Maternity and newborn care (coverage page; not a billing policy). Verify the payer source before claim submission.
Frequently asked questions
Oscar Health payer FAQs
How do I check claim status with Oscar Health?
Providers check Oscar Health via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Oscar Health?
The primary payer ID for Oscar Health is OSCAR. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Oscar Health?
The 837P and 837I payer ID for Oscar Health is OSCAR via Stedi.
What is the 835 payer ID for Oscar Health?
The 835 payer ID for Oscar Health is OSCAR via Stedi.
What is the 270 payer ID for Oscar Health?
The 270 payer IDs for Oscar Health are OSCAR via Stedi and OSCAR via Availity.
What is the 276 payer ID for Oscar Health?
The 276 payer ID for Oscar Health is OSCAR via Stedi.
What states does Oscar Health operate in?
Oscar Health operates in AL, AZ, FL, GA, IA, IL, KS, MI, MO, MS, NC, NE, NJ, NY, OH, OK, PA, TN, TX, and VA.
Routing reference
Oscar Health payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Oscar HealthSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | AL, AZ, FL, GA, IA, IL, KS, MI, MO, MS, NC, NE, NJ, NY, OH, OK, PA, TN, TX, VASource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | OSCARSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | OSCARSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | OSCAREnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | OSCARSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | OSCARSource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | OSCARSource: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Oscar Health. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: OSCAR HEALTH. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Oscar Health. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Oscar Health phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Payer phone
- (855) 672-2755OSCAR HEALTH
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(855) 672-2755 |
|
Phone and fax numbers sourced directly from the payer response