Oxford IFSP Submission Issue

To mitigate this issue, the SFA suggests that for claims submitted to Oxford, providers mail the IFSP to the insurer with a copy of the subrogation notice. A copy of the subrogation notice can be generated in EIBilling.com. This package (IFSP and subrogation notice) should be mailed directly to the address provided on the subrogation notice, which is pre-populated when generated in EIBilling.com. The most recent IFSP should be sent to Oxford upon six month and annual reviews, or whenever an IFSP is amended to include new services or change the frequency or duration of existing services.

Upon receipt of the IFSP with the copy of the subrogation notice, Oxford’s team will record the IFSP and, if required, submit to Optum Health. Oxford staff is currently undergoing internal training to ensure that IFSPs are recorded properly, in order to limit the number of claims rejected for no IFSP on file.

If you have any questions, please contact the PCG Customer Service Center at (866) 315-3747.