Payer ID OSCAR: Oscar Health
OSCAR is the electronic payer ID for Oscar Health, according to the Stedi payer network directory. Enter OSCAR in loop 2010BB of an 837 claim - the payer name segment, with qualifier PI in NM108 and the ID in NM109 - to route the claim to Oscar Health. Payer IDs are assigned per clearinghouse, so confirm OSCAR on your own clearinghouse's payer list before you submit.
Payer ID OSCAR at a glance
- Electronic payer ID
- OSCAR
- Payer
- Oscar Health
- Claim location
- 837 loop 2010BB, NM109
Where payer ID OSCAR goes on a claim
On an electronic professional (837P) or institutional (837I) claim, the payer is identified in loop 2010BB, the payer name loop. The NM1 segment there carries entity identifier code PR (payer), the payer's name, the qualifier PI in NM108, and the payer ID itself in NM109:
NM1*PR*2*OSCAR HEALTH*****PI*OSCAR~The same NM1*PR structure names the payer in loop 2100A of 270 eligibility and 276 claim status requests. Many clearinghouses use one payer ID for claims, eligibility, and claim status, but some assign a separate ID per transaction, so check the payer list for each transaction type you send.
Before you submit to payer ID OSCAR
Read the member's ID card
The claims payer ID or claims address printed on the card is the most specific source for that member's plan. Where it differs from a directory listing, the card generally reflects how that plan wants claims sent.
Check whether a third-party administrator runs the plan
Self-funded employer plans route claims to their administrator's payer ID, which is often different from the network or carrier name printed on the card.
Confirm the ID on your clearinghouse's payer list
Payer IDs are assigned per clearinghouse. Large national payers tend to use the same ID nearly everywhere; regional plans and administrators often do not. Search your clearinghouse's list for OSCAR and confirm it maps to Oscar Health.
Watch the acknowledgments, not just the remittance
A wrong payer ID fails at the clearinghouse or on the 277CA claim acknowledgment, not as a denial on the 835. A rejected claim was never received by the payer, so the timely filing clock keeps running until a corrected claim is accepted.
Oscar Health billing reference
Oscar Health writes dental, medical coverage in 20 states (AL, AZ, FL, GA, IL, IA, KS, MI, MS, MO, NE, NJ, NY, NC, OH, OK, PA, TN, TX, VA). Rette indexes 146 Oscar Health policy documents - coverage criteria, prior authorization requirements, and billing guidelines.
Oscar Health timely filing, prior auth, and appeals
Payer ID OSCAR questions
- Which insurance company uses payer ID OSCAR?
- Payer ID OSCAR belongs to Oscar Health in the Stedi payer network directory. Payer IDs are assigned per clearinghouse, so check OSCAR against your own clearinghouse's payer list before submitting.
- What is the Oscar Health payer ID?
- The Oscar Health electronic payer ID is OSCAR. It goes in loop 2010BB of the 837 claim. Payer IDs are assigned per clearinghouse, so confirm OSCAR against your own clearinghouse's payer list before relying on it.
- Where do I enter payer ID OSCAR on an 837 claim?
- In loop 2010BB, the payer name loop: the NM1 segment with entity identifier PR, qualifier PI in NM108, and OSCAR in NM109. The same NM1*PR structure identifies the payer in loop 2100A of 270 eligibility and 276 claim status requests, though some clearinghouses assign a different payer ID for those transactions.
Payer IDs for related payers
Every payer ID in the directoryPayer IDs come from the payer network directory named above and are assigned per clearinghouse. Always confirm the ID with your clearinghouse and the member's card before submitting a claim.