AvMed
AvMed is a payer organization operating in Florida. For an ASC, what matters isn't the logo. It's how AvMed 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 AvMed analysis
Tell us where to send it. Our team will prepare an analysis of AvMed 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 AvMed pays
See how AvMed 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
AvMed's presence spans Florida. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for AvMed and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive AvMed'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 AvMed up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with AvMed
- Payer ID
- 59274 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to AvMed through a clearinghouse.
- Eligibility verification
- Coverage and benefits for AvMed members are verified before the date of service, through a clearinghouse using payer ID 59274or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with AvMed directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of AvMed the way it pays.
- What is AvMed's payer ID?
- AvMed's electronic payer ID is 59274. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to AvMed through a clearinghouse.
- How do ASCs verify eligibility for AvMed members?
- Eligibility and benefits for AvMed members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 59274) or through the payer's provider portal.
- Does AvMed require prior authorization for ASC procedures?
- Prior-authorization requirements for AvMed are set per plan and per procedure. Confirm whether an authorization is required with AvMed directly before the date of service.
- What type of payer is AvMed?
- AvMed is a payer organization operating in Florida.
- How does AvMed compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where AvMed pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is AvMed paying my ASC below market?
- Put your own AvMed 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.