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Oscar Health authorizations are coming to Availity Essentials™ soon

All your Oscar Health authorizations. One easy-to-use place. Digital authorization tools designed to save time and reduce administrative work.

Availity Essentials™ (Essentials) is the secure provider portal for Oscar Health. This website is for Oscar providers to learn about how to get started with Essentials begin utilizing the latest time-saving tools. Here are some of the tools and features available in Essentials for Oscar providers:

What is Changing?

Starting June 15, 2026, Oscar Health will offer electronic authorization submission and management through Availity Essentials™.

You will be able to submit and manage inpatient and outpatient authorization requests using the same digital workflow you already use for other participating health plans.

No more faxing, mailing, or calling.
Just log in and go.

Why this matters to you

Managing authorizations can be time‑consuming and disruptive to care delivery. With Oscar Health authorizations in Availity Essentials, you can:

  • Reduce administrative work tied to phone, fax, and paper processes
  • Get faster feedback on authorization requests
  • Track and manage all requests in one centralized location
  • Spend less time following up and more time focusing on patients

What can you do in Availity Essentials?

Submit authorization requests faster
Submit inpatient and outpatient authorization requests electronically and receive real‑time feedback, often within minutes.

Check status without calling
Use the Authorization and Referral Inquiry tool to check request status online, without waiting on hold.

Stay organized with less effort
Use the Authorization and Referral Dashboard to view all submitted requests in one place, with filters that help you prioritize and manage your workload efficiently.

Does this apply to you?

This update is for providers who submit authorization requests to Oscar Health and use Availity Essentials.

  • Applies to inpatient and outpatient authorizations
  • Available within Availity Essentials
  • No change to Oscar Health clinical criteria or coverage requirements

Only the submission and tracking experience is changing.

What you need to get started

To access these tools, users must have the following roles in Availity Essentials:

  • Authorization and Referral Request
  • Authorization and Referral Inquiry

If you are unsure whether you have access, contact your organization’s Availity Essentials Administrator.

Training resources in action!

Want to see how it works?

Join our live training sessions or review our demo repository to learn how to submit and manage Oscar Health authorizations in Availity Essentials. Oscar Health and Availity experts will walk through the workflow, share helpful tips, and answer your questions live.

Get help today!

Get Started with Availity Essentials

Set up your organization today to manage Oscar Health authorizations.

Follow the path below that matches your role:

1. Identify Your Organization’s Administrator

Before registering, you must designate an Administrator. This individual must have the legal authority to sign agreements for your organization and will be responsible for:

  • Registering the organization.
  • Setting up user accounts.
  • Managing staff access levels.
2. Choose Your Action Path
I am the Designated Administrator

Action: Click the Register with Availity button below to register your organization. By submitting, you agree to act as the Administrator for your office.

I am NOT the Administrator

Action: Do not register. Creating a duplicate registration for your organization could cause authorization delays.

  • Next Step: Your designated Administrator will determine your access level and create your user account directly within the platform.
I am Unsure Who the Administrator Is

Action: Share this page with your manager. They will help determine who holds the legal authority to manage your organization’s Availity account.

For registration issues, call Availity Client Services at 1-800-AVAILITY (282-4548). Assistance is available Monday through Friday from 8 a.m. ET – 8 p.m. ET

Register with Availity

Frequently Asked Questions

As one of the nation’s largest health information networks, Availity facilitates billions of clinical, administrative, and financial transactions annually. Effective ​[DATE]​, Availity will become the preferred multi-payer portal for submitting secure transactions to ​Oscar Health​.  

Who is Availity?

Headquartered in Jacksonville, Florida, Availity empowers payers and providers to deliver transformative patient experiences by enabling the seamless exchange of clinical, administrative, and financial information. As the nation’s largest real-time health information network, Availity develops intelligent, automated, and interoperable solutions that foster collaboration and shared value across the healthcare ecosystem. With connections to over 95% of payers, more than 3 million providers, and over 2,000 trading partners, Availity provides mission-critical connectivity to drive the future of healthcare innovation.

Oscar Health is collaborating with Availity to develop and improve online tools for their provider network.

What is Availity Essentials?

Availity Essentials is an online, multi-payer portal that gives providers, hospitals, and other healthcare professionals access to multiple payer information with your own secure user ID and password. 

Healthcare professionals have free access to real-time information and instant responses in a consistent format regardless of the payer. Availity is compliant with all HIPAA regulations, and there is no cost for providers to register or use any of the online tools. 

Why is Oscar Health partnering with Availity?

Availity Essentials provides a singular provider experience for the authorization and referral process for Oscar Health. ​Oscar Health is partnering with Availity to make transactions easier and simpler and reduce administrative burden. 

When does this change take effect?

Oscar Health authorizations will be available in Availity Essentials starting June 15, 2026.

What features does Availity Essentials offer to Oscar Health Providers?

Coming Soon!

  • Oscar Health Branded Payer Space
  • Authorizations & Referrals
  • Authorizations – Provider Search
  • Authorizations – Attachments

On the Horizon!

  • Eligibility & Benefits (270/271)
  • Eligibility & Benefits – Member ID Card
  • Claim Submission (837 P/I)
  • Claim Status (276/277)
  • And more!
Is this required to submit Oscar Health authorizations?

Starting June 15, electronic submission through Availity Essentials will be the primary way to submit and manage Oscar Health authorizations. Using the digital workflow helps avoid delays and reduces follow‑up.

Are authorization requirements changing?

No. Oscar Health authorization requirements, coverage rules, and clinical criteria remain the same. Only the submission and tracking method is changing.

Does Availity offer additional resources or training for new users?

Yes, reference the New User Guide for step-by-step instructions. 

Availity also provides many training resources for new users to help you work with Oscar Health on Availity Essentials. After logging into Availity Essentials, select Help & Training > Get Trained to access live and recorded webinars. 

Another resource is the Get Started Guide from Oscar Health to Availity Essentials to learn where to find the tools you need on Essentials and which roles are needed to view these functions.

  1. Log in to Availity Essentials.
  2. Click Help & Training > Find Help > Payer Tools > Oscar Health > Get Started Guide from [LEGACY PORTAL] to Availity Essentials>. The Get Started Guide displays in a table format to help you quickly locate the services and features you need to access.

Note: To view or print Essentials help topics, you must be registered with Availity Essentials.

What role should I have on Availity Essentials within my organization?
My role:My next best step:
I am (or will be) the designated Administrator for my organization. Register and Get Started with Availity Essentials. View detailed instructions, recorded training sessions, and other helpful information. 
I am not (or will not be) the designated Administrator for my organization. Your designated Administrator will determine who needs access to Availity Essentials on behalf of your organization and will create user accounts for those individuals. 
I am not sure who is (or will be) the designated Administrator for my organization. Share this information with your manager to help determine who will be the designated Administrator for your organization. 
How do I register as an organization administrator?

If you are the administrator for your organization, you first need to register a user account. Go to www.availity.com and select Portal Login in the upper-right corner of the page. Select Create Account. For registration training, refer to Availity’s provider registration training site. 

How do I contact Availity Client Services if I have specific questions?

For additional registration support, contact Availity Client Services at 1-800-282-4548, 8 a.m. to 8 p.m. ET, Monday through Friday. 

For questions about:Contact the following:
Availity Essentials or Availity Intelligent Gateway transactions1-800-AVAILITY (282-4548) Monday through Friday
8 a.m. to 8 p.m. Eastern Time
Availity Essentials capabilities for Oscar HealthThis who to contact guide contains help information for registered or unregistered Availity Portal users, and non-Availity Clearinghouse users.

Availity, LLC is an independent company providing health information networking services for Oscar Health.

Is Availity Essentials free?

Providers can transact with sponsoring health plans on Availity Essentials for free. ​Oscar Health​ is a sponsoring health plan on Availity Essentials. 

Can I access other payers via Availity Essentials?

A: Yes, you can work with many other payers via Essentials. View a searchable list of payers.

We Can Help! Get Free, Live and On-Demand Training from Availity

Join a 30-minute Availity training webinar to learn how to set up and use Availity Essentials for all payers.

Registering and Getting Started with Availity

Not registered with Availity? Not sure who Availity is or what we offer? In these introductory sessions, we’ll tell you about Availity’s tools and features to better manage your patients’ healthcare online. For help getting started, we’ll also give you some quick tips on how to register for your free Availity account. Training is multi-payer and occurs monthly. All webinars are recorded for you to access at your convenience.

Oscar Health’s Payer Space

Payer Spaces on Availity Essentials makes it easy for you to navigate to proprietary payer applications, resources, and information. The Payer Spaces drop-down menu gives you the option to select Oscar Health in addition to other payers with whom your organization is associated with on Essentials.

Helpful Availity Essentials Resources