ElderServe Health
ElderServe Health is a payer organization operating in New York. For an ASC, what matters isn't the logo. It's how ElderServe 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 ElderServe Health analysis
Tell us where to send it. Our team will prepare an analysis of ElderServe 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 ElderServe Health pays
See how ElderServe 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
ElderServe Health's presence spans New York. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for ElderServe Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive ElderServe 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 ElderServe 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 ElderServe Health
- Payer ID
- 05178 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to ElderServe Health through a clearinghouse.
- Eligibility verification
- Coverage and benefits for ElderServe Health members are verified before the date of service, through a clearinghouse using payer ID 05178or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with ElderServe Health directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of ElderServe Health the way it pays.
- What is ElderServe Health's payer ID?
- ElderServe Health's electronic payer ID is 05178. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to ElderServe Health through a clearinghouse.
- How do ASCs verify eligibility for ElderServe Health members?
- Eligibility and benefits for ElderServe Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 05178) or through the payer's provider portal.
- Does ElderServe Health require prior authorization for ASC procedures?
- Prior-authorization requirements for ElderServe Health are set per plan and per procedure. Confirm whether an authorization is required with ElderServe Health directly before the date of service.
- What type of payer is ElderServe Health?
- ElderServe Health is a payer organization operating in New York.
- How does ElderServe Health compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where ElderServe 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 ElderServe Health paying my ASC below market?
- Put your own ElderServe 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.