Oscar Health: timely filing limit
Initial claim
No published default
Timely filing limits vary by contract. We could not confirm a single default limit that applies across every Oscar Health contract, so we are not going to state one. Check your own participation agreement, or the payer portal, before relying on a number for this deadline.
Clock starts from: last date of service
Appeal window
No published default appeal window. Check the payer's own appeals policy.
Caveats
Oscar Health publishes a base provider manual plus a separate supplement for each state it operates in, and the timely filing figure differs by supplement. No single national default should be assumed; confirm against the specific state supplement for the member's plan.
Retrieved 2026-07-18.
Denied for timely filing already
See the timely filing denial code for the corrective actions and whether an appeal is worth filing.
Denial7 provides billing and administrative guidance based on published CMS and X12 sources. It is not medical advice, not a coverage determination, and not a guarantee of payment. NCCI and MUE edits are republished quarterly and payer policies vary by contract. Always confirm against the payer's own current policy before submitting or appealing.