American Health Advantage of Idaho / Utah
American Health Advantage of Idaho / Utah is a Medicare Advantage plan operating in Idaho. For an ASC, what matters isn't the logo. It's how American Health Advantage of Idaho / Utah 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 American Health Advantage of Idaho / Utah analysis
Tell us where to send it. Our team will prepare an analysis of American Health Advantage of Idaho / Utah 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 American Health Advantage of Idaho / Utah pays
See how American Health Advantage of Idaho / Utah 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
American Health Advantage of Idaho / Utah's presence spans Idaho. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for American Health Advantage of Idaho / Utah and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive American Health Advantage of Idaho / Utah'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 American Health Advantage of Idaho / Utah up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with American Health Advantage of Idaho / Utah
- Payer ID
- 31145 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to American Health Advantage of Idaho / Utah through a clearinghouse.
- Eligibility verification
- Coverage and benefits for American Health Advantage of Idaho / Utah members are verified before the date of service, through a clearinghouse using payer ID 31145or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with American Health Advantage of Idaho / Utah directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of American Health Advantage of Idaho / Utah the way it pays.
- What is American Health Advantage of Idaho / Utah's payer ID?
- American Health Advantage of Idaho / Utah's electronic payer ID is 31145. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to American Health Advantage of Idaho / Utah through a clearinghouse.
- How do ASCs verify eligibility for American Health Advantage of Idaho / Utah members?
- Eligibility and benefits for American Health Advantage of Idaho / Utah members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 31145) or through the payer's provider portal.
- Does American Health Advantage of Idaho / Utah require prior authorization for ASC procedures?
- Prior-authorization requirements for American Health Advantage of Idaho / Utah are set per plan and per procedure. Confirm whether an authorization is required with American Health Advantage of Idaho / Utah directly before the date of service.
- What type of payer is American Health Advantage of Idaho / Utah?
- American Health Advantage of Idaho / Utah is a Medicare Advantage plan operating in Idaho.
- How does American Health Advantage of Idaho / Utah compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where American Health Advantage of Idaho / Utah pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is American Health Advantage of Idaho / Utah paying my ASC below market?
- Put your own American Health Advantage of Idaho / Utah 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.