Loading page content
Regional Carrier · New York, New York
Optum Facility Credentialing & Network Participation
Oscar Health is a technology-driven health insurance company focused on individual and small group markets. Known for their user-friendly digital platform and emphasis on member engagement, they serve over 1.6 million members with a modern approach to healthcare. Oscar operates in 504 markets across 18 states as of 2025.
Oscar Health payer facts
Market context
Growing presence in ACA marketplace with focus on technology-enabled care delivery and member experience. Approximately 1.6 million members as of 2024.
Payer guide
Oscar Health provides comprehensive behavioral health coverage through partnership with Optum Behavioral Health. Coverage includes digital health solutions, easy access to care, and integrated support through their concierge teams.
Behavioral Health Manager
Optum Behavioral Health (Electronic Payor ID: 87726)
All treatment settings accepted by Oscar
What sets Oscar apart
Required credentials for network participation
Prior Authorization
Medical Necessity Criteria
Milliman Care Guidelines (MCG), ASAM criteria for substance use
Payment and billing information
Network opportunities
Seeking facilities in underserved areas, particularly rural counties
High-demand service areas and locations
Coverage area
Continue learning
Provider guide
Learn what insurance credentialing is, why it matters, and how to navigate the process to get in-network.
Read moreProvider guide
A practical step-by-step guide for healthcare providers who want to join insurance panels.
Read moreProvider guide
Navigate behavioral health carve-outs and credentialing requirements for major payers.
Read moreProvider guide
Learn how payer contracts work and how to negotiate better reimbursement rates.
Read moreExpert contracting support
Our team specializes in Oscar Health contracting for behavioral health facilities. We'll help you secure competitive rates and streamline your credentialing process.
Achieve significantly better reimbursement through expert negotiation
Reduce credentialing timeline from months to weeks
CAQH, state licensing, and accreditation guidance
Your personal contracting specialist throughout the process