America's Choice Healthplans
America's Choice Healthplans is a payer organization. For an ASC, what matters isn't the logo. It's how America's Choice Healthplans 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 America's Choice Healthplans analysis
Tell us where to send it. Our team will prepare an analysis of America's Choice Healthplans 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 America's Choice Healthplans pays
See how America's Choice Healthplans 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
See where America's Choice Healthplans concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for America's Choice Healthplans and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive America's Choice Healthplans'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 America's Choice Healthplans up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with America's Choice Healthplans
- Payer ID
- 20029 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to America's Choice Healthplans through a clearinghouse.
- Eligibility verification
- Coverage and benefits for America's Choice Healthplans members are verified before the date of service, through a clearinghouse using payer ID 20029or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with America's Choice Healthplans directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of America's Choice Healthplans the way it pays.
- What is America's Choice Healthplans's payer ID?
- America's Choice Healthplans's electronic payer ID is 20029. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to America's Choice Healthplans through a clearinghouse.
- How do ASCs verify eligibility for America's Choice Healthplans members?
- Eligibility and benefits for America's Choice Healthplans members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 20029) or through the payer's provider portal.
- Does America's Choice Healthplans require prior authorization for ASC procedures?
- Prior-authorization requirements for America's Choice Healthplans are set per plan and per procedure. Confirm whether an authorization is required with America's Choice Healthplans directly before the date of service.
- What type of payer is America's Choice Healthplans?
- America's Choice Healthplans is a payer organization.
- How does America's Choice Healthplans compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where America's Choice Healthplans pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is America's Choice Healthplans paying my ASC below market?
- Put your own America's Choice Healthplans 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.