ASR Health Benefits
ASR Health Benefits is a third-party administrator (TPA). For an ASC, what matters isn't the logo. It's how ASR Health Benefits 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 ASR Health Benefits analysis
Tell us where to send it. Our team will prepare an analysis of ASR Health Benefits 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 ASR Health Benefits pays
See how ASR Health Benefits 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 ASR Health Benefits concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for ASR Health Benefits and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive ASR Health Benefits'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 ASR Health Benefits up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with ASR Health Benefits
- Payer ID
- 38265 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to ASR Health Benefits through a clearinghouse.
- Eligibility verification
- Coverage and benefits for ASR Health Benefits members are verified before the date of service, through a clearinghouse using payer ID 38265or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with ASR Health Benefits directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of ASR Health Benefits the way it pays.
- What is ASR Health Benefits's payer ID?
- ASR Health Benefits's electronic payer ID is 38265. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to ASR Health Benefits through a clearinghouse.
- How do ASCs verify eligibility for ASR Health Benefits members?
- Eligibility and benefits for ASR Health Benefits members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 38265) or through the payer's provider portal.
- Does ASR Health Benefits require prior authorization for ASC procedures?
- Prior-authorization requirements for ASR Health Benefits are set per plan and per procedure. Confirm whether an authorization is required with ASR Health Benefits directly before the date of service.
- What type of payer is ASR Health Benefits?
- ASR Health Benefits is a third-party administrator (TPA).
- How does ASR Health Benefits compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where ASR Health Benefits pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is ASR Health Benefits paying my ASC below market?
- Put your own ASR Health Benefits 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.