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Provider Cover Forms

Oscar has launched new cover forms to include on provider-submitted documents. These forms will simplify the document submission process and enable streamlined review.
Our cover forms are to be used for:
  • Claims Disputes
  • Clinical Appeals
  • Claims-Related Documents
Effective October 1, 2025, completion of the Claims Disputes Provider Form will be required to process your request. Here are the two ways you can send us a dispute:
  • The Easiest Way (Portal): The best way to send in a dispute is through our provider portal. There is a simple version of the form there that is easy to fill out and send online. You can also track the progress of your dispute on the portal.
  • By Fax or Mail: If you want to fax or mail your dispute, you must fill out and send in the required Claims Disputes form below.
For member forms, including authorization requests, please refer to hioscar.com/forms and select your specific market.

Cover Forms

  • Claims Disputes
    PDF
    • Clinical Appeals
      PDF
      • Claims-Related Documents
        PDF