12/2/2021
Effective January 1, 2022, Oscar Health Insurance Company will begin utilizing the Midlands Choice Premier network for their Individual and Family business in the state of Nebraska.
If a provider has a direct contract with Oscar Health, the Midlands Choice network fee schedule rates will not apply.
The plans will utilize the Midlands Choice network except for the following services:
- Behavioral Health covered services
- Pharmacy covered services
- Dental covered services
- Vision covered services
- Non-Hospital Laboratory covered services
- Transplant covered services
- Durable Medical Equipment covered services
- Home Infusion covered services
Providers should consult Oscar’s Nebraska Provider Manual for Claims submission instructions. The Provider Manual can be found at provider.hioscar.com/resources/nebraska/Overview/.
To confirm eligibility, verify benefits, check the status of a claim, enroll in EFT/ERA and more, providers may create a Provider Portal account at hioscar.com/providers. User 'How To' guides for the Provider Portal and other resources such as Reimbursement Policies are available at hioscar.com/providers/resources. Contact Oscar at 855-672-2755 with any questions.
Medical claims for Oscar Health plans should be submitted directly to Oscar at PO Box 52146, Phoenix, AZ 85072-2146, or electronically using EDI ID: OSCAR. The Midlands Choice logo is displayed on the ID card.
