Credentialing by payer
Join the Oscar Health Network
- Flat PricesNo percentage of collections
- Half Now, Half at SubmissionFor every enrollment application
- Closed Network?Your choice of a refund or a credit
- Live Status TrackingCheck any application by reference number
Oscar Health at a Glance
| How to request to join | The Request to Join form on hioscar.com, assessed against current network needs. Start here |
|---|---|
| Portal | Oscar Provider Portal, with Availity for key tasks |
| CAQH ProView (DataSpring) | Oscar's credentialing status check asks for the provider's NPI and CAQH ID. |
| Published turnaround | Up to 45 days after Oscar receives all required applications and documents, then about 2 weeks to appear in the provider directory. |
How Oscar Health Takes Applications
Oscar screens for network need before credentialing, so the first reply can take several business days. Once accepted, credentialing runs up to 45 days, and credentialing questions go to credentialing@hioscar.com with replies within 3 business days.
What to Watch With Oscar Health
Some Oscar products are HMOs with referral rules, for example TX Guided Care HMO plans require referrals for specialist visits. Newly contracted providers are encouraged to attend a monthly orientation.
Whatever the plan, the file moves only when your CAQH (DataSpring) profile, license record and application agree. See how long credentialing takes and our CAQH profile setup service.
Questions About Oscar Health
How do I apply to Oscar Health?
The Request to Join form on hioscar.com, assessed against current network needs.
How long does Oscar Health credentialing take?
Up to 45 days after Oscar receives all required applications and documents, then about 2 weeks to appear in the provider directory.
Does Oscar Health use CAQH (DataSpring)?
Oscar's credentialing status check asks for the provider's NPI and CAQH ID.
What does PECS charge for an Oscar Health application?
$200 per application per provider, half at engagement and half at submission, including follow-up with Oscar Health until the effective date is set.
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Sources
Facts checked against the sources above in October 2026; plan procedures change.