Oxford
Oxford is a payer organization operating in Connecticut, New Jersey, and New York. For an ASC, what matters isn't the logo. It's how Oxford pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Oxford analysis
Tell us where to send it. Our team will prepare an analysis of Oxford covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Oxford pays
See how Oxford reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Oxford's presence spans Connecticut, New Jersey, and New York. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Oxford and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Oxford's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Oxford up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Oxford
- Payer ID
- 06111 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Oxford through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Oxford members are verified before the date of service, through a clearinghouse using payer ID 06111or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Oxford directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Oxford the way it pays.
- What is Oxford's payer ID?
- Oxford's electronic payer ID is 06111. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Oxford through a clearinghouse.
- How do ASCs verify eligibility for Oxford members?
- Eligibility and benefits for Oxford members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 06111) or through the payer's provider portal.
- Does Oxford require prior authorization for ASC procedures?
- Prior-authorization requirements for Oxford are set per plan and per procedure. Confirm whether an authorization is required with Oxford directly before the date of service.
- What type of payer is Oxford?
- Oxford is a payer organization operating in Connecticut, New Jersey, and New York.
- How does Oxford compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Oxford pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Oxford paying my ASC below market?
- Put your own Oxford contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.