All payers

Anthem Blue Cross Blue Shield of New York

Anthem Blue Cross Blue Shield of New York is a Blue Cross Blue Shield-affiliated health plan operating in New York. For an ASC, what matters isn't the logo. It's how Anthem Blue Cross Blue Shield of New York 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 Anthem Blue Cross Blue Shield of New York analysis

Tell us where to send it. Our team will prepare an analysis of Anthem Blue Cross Blue Shield of New York 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.

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What Insights reveals

  • How Anthem Blue Cross Blue Shield of New York pays

    See how Anthem Blue Cross Blue Shield of New York 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

    Anthem Blue Cross Blue Shield of New York'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 Anthem Blue Cross Blue Shield of New York and bring the gap to your next contract conversation.

  • Specialty mix

    Understand which procedures and specialties drive Anthem Blue Cross Blue Shield of New York'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 Anthem Blue Cross Blue Shield of New York up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.

Reference

Working with Anthem Blue Cross Blue Shield of New York

Payer ID
803 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Anthem Blue Cross Blue Shield of New York through a clearinghouse.
Eligibility verification
Coverage and benefits for Anthem Blue Cross Blue Shield of New York members are verified before the date of service, through a clearinghouse using payer ID 803or through the payer's provider portal.
Prior authorization
Requirements are set per plan and per procedure. Confirm whether an authorization is required with Anthem Blue Cross Blue Shield of New York directly before the date of service.

Book a demo: pick a time

A 15-minute walkthrough of Anthem Blue Cross Blue Shield of New York the way it pays.

Operates in
What is Anthem Blue Cross Blue Shield of New York's payer ID?
Anthem Blue Cross Blue Shield of New York's electronic payer ID is 803. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Anthem Blue Cross Blue Shield of New York through a clearinghouse.
How do ASCs verify eligibility for Anthem Blue Cross Blue Shield of New York members?
Eligibility and benefits for Anthem Blue Cross Blue Shield of New York members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 803) or through the payer's provider portal.
Does Anthem Blue Cross Blue Shield of New York require prior authorization for ASC procedures?
Prior-authorization requirements for Anthem Blue Cross Blue Shield of New York are set per plan and per procedure. Confirm whether an authorization is required with Anthem Blue Cross Blue Shield of New York directly before the date of service.
What type of payer is Anthem Blue Cross Blue Shield of New York?
Anthem Blue Cross Blue Shield of New York is a Blue Cross Blue Shield-affiliated health plan operating in New York.
How does Anthem Blue Cross Blue Shield of New York compare with other payers for ASC procedures?
Ask Rose and you get a plain-language read on where Anthem Blue Cross Blue Shield of New York pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
Is Anthem Blue Cross Blue Shield of New York paying my ASC below market?
Put your own Anthem Blue Cross Blue Shield of New York 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.
The pilot

A pilot that proves itself in days.

A product goes live and the results show up before the questions do.

  • NDA signed before we start
  • HIPAA-grade Business Associate Agreement (BAA) in place
  • Scoped to one high-impact workflow at a time
Ready to move forward?

Here’s what getting started looks like.

Setup time
< 1 day
Integration
No integration (Phase 1 pilot)
Contract
Month-to-month
HIPAA compliant · BAA included