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.
Growing presence in ACA marketplace with focus on technology-enabled care delivery and member experience. Approximately 1.6 million members as of 2024.
Everything you need to know about contracting with Oscar Health for behavioral health services
Coverage details & levels of care
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
Current network needs and priority areas for facility contracting with Oscar
Current Network Needs
Seeking facilities in underserved areas, particularly rural counties
High-demand service areas and locations
Oscar Health provides coverage in 18 states across the United States
18 states nationwide
Corporate Headquarters
New York, New York
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
50+
Clients Served
15+
Years Experience
95%
Success Rate
50
States Covered