Assured Benefits Administrators
Assured Benefits Administrators is a third-party administrator (TPA). For an ASC, what matters isn't the logo. It's how Assured Benefits Administrators 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 Assured Benefits Administrators analysis
Tell us where to send it. Our team will prepare an analysis of Assured Benefits Administrators 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 Assured Benefits Administrators pays
See how Assured Benefits Administrators 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 Assured Benefits Administrators concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Assured Benefits Administrators and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Assured Benefits Administrators'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 Assured Benefits Administrators up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Assured Benefits Administrators
- Payer ID
- 74240 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Assured Benefits Administrators through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Assured Benefits Administrators members are verified before the date of service, through a clearinghouse using payer ID 74240or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Assured Benefits Administrators directly before the date of service.
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A 15-minute walkthrough of Assured Benefits Administrators the way it pays.
- What is Assured Benefits Administrators's payer ID?
- Assured Benefits Administrators's electronic payer ID is 74240. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Assured Benefits Administrators through a clearinghouse.
- How do ASCs verify eligibility for Assured Benefits Administrators members?
- Eligibility and benefits for Assured Benefits Administrators members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 74240) or through the payer's provider portal.
- Does Assured Benefits Administrators require prior authorization for ASC procedures?
- Prior-authorization requirements for Assured Benefits Administrators are set per plan and per procedure. Confirm whether an authorization is required with Assured Benefits Administrators directly before the date of service.
- What type of payer is Assured Benefits Administrators?
- Assured Benefits Administrators is a third-party administrator (TPA).
- How does Assured Benefits Administrators compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Assured Benefits Administrators pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Assured Benefits Administrators paying my ASC below market?
- Put your own Assured Benefits Administrators 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.