Alignment Health Plan
Alignment Health Plan is a regional health plan operating in California, North Carolina, Nevada, and Texas. For an ASC, what matters isn't the logo. It's how Alignment Health Plan 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 Alignment Health Plan analysis
Tell us where to send it. Our team will prepare an analysis of Alignment Health Plan 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 Alignment Health Plan pays
See how Alignment Health Plan 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
Alignment Health Plan's presence spans California, North Carolina, Nevada, and Texas. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Alignment Health Plan and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Alignment Health Plan'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 Alignment Health Plan up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Alignment Health Plan
- Payer ID
- CCHPC is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Alignment Health Plan through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Alignment Health Plan members are verified before the date of service, through a clearinghouse using payer ID CCHPCor through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Alignment Health Plan directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Alignment Health Plan the way it pays.
- What is Alignment Health Plan's payer ID?
- Alignment Health Plan's electronic payer ID is CCHPC. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Alignment Health Plan through a clearinghouse.
- How do ASCs verify eligibility for Alignment Health Plan members?
- Eligibility and benefits for Alignment Health Plan members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID CCHPC) or through the payer's provider portal.
- Does Alignment Health Plan require prior authorization for ASC procedures?
- Prior-authorization requirements for Alignment Health Plan are set per plan and per procedure. Confirm whether an authorization is required with Alignment Health Plan directly before the date of service.
- What type of payer is Alignment Health Plan?
- Alignment Health Plan is a regional health plan operating in California, North Carolina, Nevada, and Texas.
- How does Alignment Health Plan compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Alignment Health Plan pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Alignment Health Plan paying my ASC below market?
- Put your own Alignment Health Plan 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.