Community Health Alliance
Community Health Alliance is a payer organization operating in Indiana and Michigan. For an ASC, what matters isn't the logo. It's how Community Health Alliance 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 Community Health Alliance analysis
Tell us where to send it. Our team will prepare an analysis of Community Health Alliance 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 Community Health Alliance pays
See how Community Health Alliance 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
Community Health Alliance's presence spans Indiana and Michigan. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Community Health Alliance and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Community Health Alliance'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 Community Health Alliance up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Community Health Alliance
- Payer ID
- 35193 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Community Health Alliance through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Community Health Alliance members are verified before the date of service, through a clearinghouse using payer ID 35193or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Community Health Alliance directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Community Health Alliance the way it pays.
- What is Community Health Alliance's payer ID?
- Community Health Alliance's electronic payer ID is 35193. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Community Health Alliance through a clearinghouse.
- How do ASCs verify eligibility for Community Health Alliance members?
- Eligibility and benefits for Community Health Alliance members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 35193) or through the payer's provider portal.
- Does Community Health Alliance require prior authorization for ASC procedures?
- Prior-authorization requirements for Community Health Alliance are set per plan and per procedure. Confirm whether an authorization is required with Community Health Alliance directly before the date of service.
- What type of payer is Community Health Alliance?
- Community Health Alliance is a payer organization operating in Indiana and Michigan.
- How does Community Health Alliance compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Community Health Alliance pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Community Health Alliance paying my ASC below market?
- Put your own Community Health Alliance 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.