Amida Care
Amida Care is a payer organization operating in New York. For an ASC, what matters isn't the logo. It's how Amida Care 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 Amida Care analysis
Tell us where to send it. Our team will prepare an analysis of Amida Care 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 Amida Care pays
See how Amida Care 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
Amida Care's presence spans 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 Amida Care and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Amida Care'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 Amida Care up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Amida Care
- Payer ID
- 79966 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Amida Care through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Amida Care members are verified before the date of service, through a clearinghouse using payer ID 79966or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Amida Care directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Amida Care the way it pays.
- What is Amida Care's payer ID?
- Amida Care's electronic payer ID is 79966. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Amida Care through a clearinghouse.
- How do ASCs verify eligibility for Amida Care members?
- Eligibility and benefits for Amida Care members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 79966) or through the payer's provider portal.
- Does Amida Care require prior authorization for ASC procedures?
- Prior-authorization requirements for Amida Care are set per plan and per procedure. Confirm whether an authorization is required with Amida Care directly before the date of service.
- What type of payer is Amida Care?
- Amida Care is a payer organization operating in New York.
- How does Amida Care compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Amida Care pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Amida Care paying my ASC below market?
- Put your own Amida Care 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.