Collective Health
Collective Health is a payer organization. For an ASC, what matters isn't the logo. It's how Collective Health 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 Collective Health analysis
Tell us where to send it. Our team will prepare an analysis of Collective Health 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 Collective Health pays
See how Collective Health 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 Collective Health concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Collective Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Collective Health'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 Collective Health up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Collective Health
- Payer ID
- 36480 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Collective Health through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Collective Health members are verified before the date of service, through a clearinghouse using payer ID 36480or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Collective Health directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Collective Health the way it pays.
- What is Collective Health's payer ID?
- Collective Health's electronic payer ID is 36480. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Collective Health through a clearinghouse.
- How do ASCs verify eligibility for Collective Health members?
- Eligibility and benefits for Collective Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 36480) or through the payer's provider portal.
- Does Collective Health require prior authorization for ASC procedures?
- Prior-authorization requirements for Collective Health are set per plan and per procedure. Confirm whether an authorization is required with Collective Health directly before the date of service.
- What type of payer is Collective Health?
- Collective Health is a payer organization.
- How does Collective Health compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Collective Health pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Collective Health paying my ASC below market?
- Put your own Collective Health 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.