All payers

Detego Health

Detego Health is a payer organization. For an ASC, what matters isn't the logo. It's how Detego 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 Detego Health analysis

Tell us where to send it. Our team will prepare an analysis of Detego 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.

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What Insights reveals

  • How Detego Health pays

    See how Detego 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 Detego Health concentrates and how its presence shapes the markets you compete in.

  • Peer position

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

  • Specialty mix

    Understand which procedures and specialties drive Detego 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 Detego 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 Detego Health

Payer ID
62599 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Detego Health through a clearinghouse.
Eligibility verification
Coverage and benefits for Detego Health members are verified before the date of service, through a clearinghouse using payer ID 62599or through the payer's provider portal.
Prior authorization
Requirements are set per plan and per procedure. Confirm whether an authorization is required with Detego Health directly before the date of service.

Book a demo: pick a time

A 15-minute walkthrough of Detego Health the way it pays.

What is Detego Health's payer ID?
Detego Health's electronic payer ID is 62599. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Detego Health through a clearinghouse.
How do ASCs verify eligibility for Detego Health members?
Eligibility and benefits for Detego Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 62599) or through the payer's provider portal.
Does Detego Health require prior authorization for ASC procedures?
Prior-authorization requirements for Detego Health are set per plan and per procedure. Confirm whether an authorization is required with Detego Health directly before the date of service.
What type of payer is Detego Health?
Detego Health is a payer organization.
How does Detego Health compare with other payers for ASC procedures?
Ask Rose and you get a plain-language read on where Detego 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 Detego Health paying my ASC below market?
Put your own Detego 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.
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