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Quick resources

Provider manual

Provider Manual

Info on Oscar’s policies and procedures

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Clinical Guidelines

Clinical Guidelines

The A to Z on Oscar’s clinical criteria

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Clinical guidelines

Provider Forms

Forms to include on faxed and mailed documents

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Additional Provider Resources

    • Provider Newsletter
    • Oscar on Availity Essentials
      • Register for Availity
      • Access Availity Help & Training
    • Helpful Guides
      • 2025 Annual Members’ Needs and Preferences Report
      • Provider Portal Admin Guide
      • Access your Oscar Portal Account (Non-Admin)
      • Provider Portal Access Troubleshooting Guide
      • Out of Network Providers - ACH/ERA Enrollment
      • Credentialing
      • Out of Network Providers - Claims Disputes
      • Overpayments and Recoveries Quick Reference
      • HMO Referral Policy Frequently Asked Questions
      • Behavioral Health Support
        • Optum Behavioral Health Toolkit for Providers
        • Behavioral Health HEDIS Measures Summary for Primary Care
        • Coordination of Care
        • Important information about Coordinating Care
        • Coordination of Care Checklist
        • Member Information Release Form
        • Care for Individuals Diagnosed with Schizophrenia
        • Metabolic Screening for Children and Adolescents on Antipsychotics
        • Opioid Use Disorder – Quick Reference Guide
      • STAR Resources
        • General quality info and improvement guides

      Have questions? Fill out a support form to find answers.