Elderhaus
Elderhaus is a payer organization operating in North Carolina. For an ASC, what matters isn't the logo. It's how Elderhaus 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 Elderhaus analysis
Tell us where to send it. Our team will prepare an analysis of Elderhaus 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 Elderhaus pays
See how Elderhaus 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
Elderhaus's presence spans North Carolina. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Elderhaus and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Elderhaus'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 Elderhaus up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Elderhaus
- Payer ID
- 64192 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Elderhaus through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Elderhaus members are verified before the date of service, through a clearinghouse using payer ID 64192or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Elderhaus directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Elderhaus the way it pays.
- What is Elderhaus's payer ID?
- Elderhaus's electronic payer ID is 64192. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Elderhaus through a clearinghouse.
- How do ASCs verify eligibility for Elderhaus members?
- Eligibility and benefits for Elderhaus members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 64192) or through the payer's provider portal.
- Does Elderhaus require prior authorization for ASC procedures?
- Prior-authorization requirements for Elderhaus are set per plan and per procedure. Confirm whether an authorization is required with Elderhaus directly before the date of service.
- What type of payer is Elderhaus?
- Elderhaus is a payer organization operating in North Carolina.
- How does Elderhaus compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Elderhaus pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Elderhaus paying my ASC below market?
- Put your own Elderhaus 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.