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We give you the right tools, so you can give your patients the care they deserve.
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Quick resources

Provider manual

Provider Manual

Info on Oscar’s policies and procedures

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Clinical Guidelines

Clinical Guidelines

The A to Z on Oscar’s clinical criteria

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This state-of-the-art benefits solution frees clients from renewals and participation rates

Reimbursement Policies

All the state-specific reimbursement policies

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Get to know the Oscar Provider Portal

We’ll walk you through it, so you’ll know your way around the site. It’s here to help you with anything related to Oscar or our members. Access authorizations, payments, claims, and search for patient info in a click, or two. Let’s go!

All your Oscar provider resources (in one place)

  • STAR Resources
    • General quality info and improvement guides
  • Helpful guides
    • About Oscar
    • New Provider Toolkit
    • Create a Portal Account
    • Provider Portal Features
    • Out of Network Providers - ACH/ERA Enrollment
    • Use 835/ERA Capabilities
    • 835 Healthcare Policy Code List
    • Submit Claims
    • Submit Prior Authorizations
    • Check Eligibility and Benefits
    • Transitioning to Value Based Care
    • Credentialing
    • Cigna + Oscar FAQs
    • $3 Drug List
    • Out of Network Providers - Claims Disputes
    • PCP Attribution FAQ
    • Overpayments and Recoveries Quick Reference
    • HMO Referral Policy Frequently Asked Questions
    • Checking Member Eligibility & Network Status
  • Behavioral health support
    • Optum Behavioral Health Toolkit for Providers
    • Behavioral Health HEDIS Measures Summary for Primary Care
    • Coordination of Care
    • Important information about Coordinating Care
    • Coordination of Care Checklist
    • Member Information Release Form
    • Care for Individuals Diagnosed with Schizophrenia
    • Metabolic Screening for Children and Adolescents on Antipsychotics
    • Opioid Use Disorder – Quick Reference Guide
  • 2024 welcome kits by state
  • HMO Guided Care Provider Resources
    • About HMO Guided Care
    • Video: Completing the referral form
    • Video: Checking a members referral status
    • Guide: Completing the referral form
    • Guide: Finding an Active Referral
    • Referral Exclusions List
    • HMO Provider Manual & TX state supplement
    • How to Make a Portal Account
    • Provider referral policy
  • Clinical Documentation Resources
    • Adrenal, Pituitary, and Parathyroid Disorders
    • Asthma
    • Bipolar Disorder
    • Diabetes
    • DSP and Documentation Best Practices
    • Metastatic Cancer
    • Social Determinants of Health
    • Solid Site Cancer
    • Stroke
    • Ventilator Dependence

Have questions? Fill out a support form to find answers.