All payers

Care1st Health Plan Arizona

Care1st Health Plan Arizona is a regional health plan operating in Arizona. For an ASC, what matters isn't the logo. It's how Care1st Health Plan Arizona 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 Care1st Health Plan Arizona analysis

Tell us where to send it. Our team will prepare an analysis of Care1st Health Plan Arizona 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 Care1st Health Plan Arizona pays

    See how Care1st Health Plan Arizona 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

    Care1st Health Plan Arizona's presence spans Arizona. See where it concentrates and how that shapes the markets you compete in.

  • Peer position

    Put your own position next to the benchmark for Care1st Health Plan Arizona and bring the gap to your next contract conversation.

  • Specialty mix

    Understand which procedures and specialties drive Care1st Health Plan Arizona'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 Care1st Health Plan Arizona up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.

Reference

Working with Care1st Health Plan Arizona

Payer ID
10981 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Care1st Health Plan Arizona through a clearinghouse.
Eligibility verification
Coverage and benefits for Care1st Health Plan Arizona members are verified before the date of service, through a clearinghouse using payer ID 10981or through the payer's provider portal.
Prior authorization
Requirements are set per plan and per procedure. Confirm whether an authorization is required with Care1st Health Plan Arizona directly before the date of service.

Book a demo: pick a time

A 15-minute walkthrough of Care1st Health Plan Arizona the way it pays.

Operates in
What is Care1st Health Plan Arizona's payer ID?
Care1st Health Plan Arizona's electronic payer ID is 10981. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Care1st Health Plan Arizona through a clearinghouse.
How do ASCs verify eligibility for Care1st Health Plan Arizona members?
Eligibility and benefits for Care1st Health Plan Arizona members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 10981) or through the payer's provider portal.
Does Care1st Health Plan Arizona require prior authorization for ASC procedures?
Prior-authorization requirements for Care1st Health Plan Arizona are set per plan and per procedure. Confirm whether an authorization is required with Care1st Health Plan Arizona directly before the date of service.
What type of payer is Care1st Health Plan Arizona?
Care1st Health Plan Arizona is a regional health plan operating in Arizona.
How does Care1st Health Plan Arizona compare with other payers for ASC procedures?
Ask Rose and you get a plain-language read on where Care1st Health Plan Arizona pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
Is Care1st Health Plan Arizona paying my ASC below market?
Put your own Care1st Health Plan Arizona 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