Consociate Health
Consociate Health is a payer organization. For an ASC, what matters isn't the logo. It's how Consociate 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 Consociate Health analysis
Tell us where to send it. Our team will prepare an analysis of Consociate 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 Consociate Health pays
See how Consociate 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 Consociate Health concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Consociate Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Consociate 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 Consociate 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 Consociate Health
- Payer ID
- 37135 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Consociate Health through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Consociate Health members are verified before the date of service, through a clearinghouse using payer ID 37135or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Consociate Health directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Consociate Health the way it pays.
- What is Consociate Health's payer ID?
- Consociate Health's electronic payer ID is 37135. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Consociate Health through a clearinghouse.
- How do ASCs verify eligibility for Consociate Health members?
- Eligibility and benefits for Consociate Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 37135) or through the payer's provider portal.
- Does Consociate Health require prior authorization for ASC procedures?
- Prior-authorization requirements for Consociate Health are set per plan and per procedure. Confirm whether an authorization is required with Consociate Health directly before the date of service.
- What type of payer is Consociate Health?
- Consociate Health is a payer organization.
- How does Consociate Health compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Consociate 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 Consociate Health paying my ASC below market?
- Put your own Consociate 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.