PAYER READY CREDENTIALING & COMPLIANCE
Commercial

Oscar

Credentialing and enrollment guides for Oscar across 10 states.

60-90 days CAQH Required Re-credential every 3 yrs

Quick Overview

Timeline

60 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

States Available

10

About Oscar

Oscar Health is a technology-focused health insurance company offering individual, family, and small business plans through the Affordable Care Act marketplace. Oscar operates in 22 states with a digital-first approach to healthcare.

How to Get Credentialed

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.

2

Complete Your CAQH ProView Profile

Oscar requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.

3

Submit Your Application

Submit your completed enrollment package to Oscar. Select your state below for state-specific submission details.

4

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 Oscar?

Our specialists handle the entire Oscar 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.

Online Download

Contact Information

Provider Enrollment

1-855-672-2788

Mon-Fri 9am-8pm ET

Provider Services

1-855-672-2788

Mon-Fri 9am-8pm ET

Claims & Billing

1-855-672-2788

Need Help?

Let PayerReady handle your Oscar credentialing and enrollment.

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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.

Need help enrolling with Oscar?

Our credentialing specialists handle the entire enrollment process: applications, follow-ups, and approvals across all 50 states.

Free consultation. No commitment required.

Select Your State

Choose your state for Oscar-specific credentialing details including timelines, contacts, and local requirements.

Alabama
Alaska
Arizona
Open
Arkansas
California
Open
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Open
Georgia
Open
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
Open
New Mexico
New York
Open
North Carolina
North Dakota
Ohio
Open
Oklahoma
Oregon
Pennsylvania
Open
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Open
Texas
Open
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming

Oscar credentialing requirements by state

Oscar enrollment is not identical everywhere. The table below lists what actually differs across the 10 states Oscar operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.

Oscar credentialing requirements by state
State Network State-specific notes
Arizona Open
California Open
Florida Open
Georgia Open
New Jersey Open
New York Open
Ohio Open
Pennsylvania Open
Tennessee Open
Texas 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 Oscar credentialing

How long does Oscar credentialing take?

Oscar 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 Oscar require CAQH?

Yes. Oscar pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Oscar 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 Oscar operate in?

Oscar has credentialing operations in 10 states. 10 of those 10 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.

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