Commercial

How to Get Credentialed with Oscar Health in California

Network: Open
45-90 Days CAQH Required

Quick Overview

Timeline

45 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

California-Specific Requirements

Oscar Health California. ACA individual/family and small group plans. Service areas include Los Angeles, San Francisco Bay Area, Orange County, and San Diego metro areas. Apply via Oscar provider portal. Uses CAQH ProView for initial credentialing data. Technology-focused health plan with telemedicine integration and step therapy for pharmacy. Active California medical license, NPI, and current malpractice insurance required. Processing: 45-60 days.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for California.

2

Complete Your CAQH ProView Profile

Oscar Health requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Oscar Health.

4

Track & Follow Up

Credentialing typically takes 45-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active state medical license required

NPI Certificate

Active NPI number required

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