CommercialAdministrativeMedium impact
OON Providers and Claims Disputes
Oscar Health·Claims & Billing
We identified it
May 16, 2026
Summary
Oscar Health has released updated guidance for out-of-network (OON) providers on handling claims disputes. This resource provides procedures for OON providers to dispute claim decisions and outlines the claims dispute resolution process.
Action Required
Immediately: Billing team should review the Oscar OON Providers and Claims Disputes resource document to understand updated dispute procedures. Update internal protocols for handling Oscar claim denials when providing out-of-network services. Train staff on new dispute submission requirements and timelines.