Oxford Health Plans
Credentialing and enrollment guides for Oxford Health Plans across 3 states.
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
3
How Oxford Health Plans Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Credentialing up to 45 calendar days from a complete application
Recredentialing
3 year cycle, maintained through data attestation every 90 days
Oxford is a UnitedHealthcare company, so joining runs through the standard UnitedHealthcare onboarding built on your CAQH data
Behavioral health routing: Behavioral health is carved out to Optum and uses Provider Express.
The stall to avoid: Confirm which UnitedHealthcare networks your contract actually includes. Oxford participation is a network designation inside the UHC contracting stack, not a separate company to apply to.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
About Oxford Health Plans
Oxford Health Plans is a healthcare payer offering provider credentialing and enrollment services. They credential physicians, specialists, and allied health professionals for their provider networks.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
Oxford Health Plans requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Oxford Health Plans. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Oxford Health Plans?
Our specialists handle the entire Oxford Health Plans enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
Contact Information
Provider Credentialing
1-800-444-6222
Mon-Fri 8am-6pm ET
Provider Services
1-800-444-6222
Claims
1-800-444-6222
Quick Links
Need Help?
Let PayerReady handle your Oxford Health Plans credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Oxford Health Plans-specific credentialing details including timelines, contacts, and local requirements.
Oxford Health Plans credentialing requirements by state
Oxford Health Plans enrollment is not identical everywhere. The table below lists what actually differs across the 3 states Oxford Health Plans operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | State-specific notes |
|---|---|---|
| Connecticut | Open | — |
| New Jersey | Open | — |
| New York | Open | — |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified April 2, 2026. Network status changes without notice — confirm before you file.
Common questions about Oxford Health Plans credentialing
How long does Oxford Health Plans credentialing take?
Oxford Health Plans credentialing typically takes 60–90 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Oxford Health Plans require CAQH?
Yes. Oxford Health Plans pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Oxford Health Plans before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does Oxford Health Plans operate in?
Oxford Health Plans has credentialing operations in 3 states. 3 of those 3 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.