Denver Health Medical Plan
Denver Health Medical Plan is a payer organization operating in Colorado. For an ASC, what matters isn't the logo. It's how Denver Health Medical Plan 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 Denver Health Medical Plan analysis
Tell us where to send it. Our team will prepare an analysis of Denver Health Medical Plan 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 Denver Health Medical Plan pays
See how Denver Health Medical Plan 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
Denver Health Medical Plan's presence spans Colorado. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Denver Health Medical Plan and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Denver Health Medical Plan'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 Denver Health Medical Plan up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Denver Health Medical Plan
- Payer ID
- 84135 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Denver Health Medical Plan through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Denver Health Medical Plan members are verified before the date of service, through a clearinghouse using payer ID 84135or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Denver Health Medical Plan directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Denver Health Medical Plan the way it pays.
- What is Denver Health Medical Plan's payer ID?
- Denver Health Medical Plan's electronic payer ID is 84135. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Denver Health Medical Plan through a clearinghouse.
- How do ASCs verify eligibility for Denver Health Medical Plan members?
- Eligibility and benefits for Denver Health Medical Plan members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 84135) or through the payer's provider portal.
- Does Denver Health Medical Plan require prior authorization for ASC procedures?
- Prior-authorization requirements for Denver Health Medical Plan are set per plan and per procedure. Confirm whether an authorization is required with Denver Health Medical Plan directly before the date of service.
- What type of payer is Denver Health Medical Plan?
- Denver Health Medical Plan is a payer organization operating in Colorado.
- How does Denver Health Medical Plan compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Denver Health Medical Plan pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Denver Health Medical Plan paying my ASC below market?
- Put your own Denver Health Medical Plan 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.