AultCare
AultCare is a payer organization operating in Ohio. For an ASC, what matters isn't the logo. It's how AultCare 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 AultCare analysis
Tell us where to send it. Our team will prepare an analysis of AultCare 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 AultCare pays
See how AultCare 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
AultCare's presence spans Ohio. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for AultCare and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive AultCare'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 AultCare up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with AultCare
- Payer ID
- 10472 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to AultCare through a clearinghouse.
- Eligibility verification
- Coverage and benefits for AultCare members are verified before the date of service, through a clearinghouse using payer ID 10472or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with AultCare directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of AultCare the way it pays.
- What is AultCare's payer ID?
- AultCare's electronic payer ID is 10472. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to AultCare through a clearinghouse.
- How do ASCs verify eligibility for AultCare members?
- Eligibility and benefits for AultCare members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 10472) or through the payer's provider portal.
- Does AultCare require prior authorization for ASC procedures?
- Prior-authorization requirements for AultCare are set per plan and per procedure. Confirm whether an authorization is required with AultCare directly before the date of service.
- What type of payer is AultCare?
- AultCare is a payer organization operating in Ohio.
- How does AultCare compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where AultCare pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is AultCare paying my ASC below market?
- Put your own AultCare 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.