Empower Healthcare Solutions
Empower Healthcare Solutions is a third-party administrator (TPA) operating in Arkansas. For an ASC, what matters isn't the logo. It's how Empower Healthcare Solutions 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 Empower Healthcare Solutions analysis
Tell us where to send it. Our team will prepare an analysis of Empower Healthcare Solutions 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 Empower Healthcare Solutions pays
See how Empower Healthcare Solutions 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
Empower Healthcare Solutions's presence spans Arkansas. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Empower Healthcare Solutions and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Empower Healthcare Solutions'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 Empower Healthcare Solutions up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Empower Healthcare Solutions
- Payer ID
- 12956 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Empower Healthcare Solutions through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Empower Healthcare Solutions members are verified before the date of service, through a clearinghouse using payer ID 12956or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Empower Healthcare Solutions directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Empower Healthcare Solutions the way it pays.
- What is Empower Healthcare Solutions's payer ID?
- Empower Healthcare Solutions's electronic payer ID is 12956. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Empower Healthcare Solutions through a clearinghouse.
- How do ASCs verify eligibility for Empower Healthcare Solutions members?
- Eligibility and benefits for Empower Healthcare Solutions members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 12956) or through the payer's provider portal.
- Does Empower Healthcare Solutions require prior authorization for ASC procedures?
- Prior-authorization requirements for Empower Healthcare Solutions are set per plan and per procedure. Confirm whether an authorization is required with Empower Healthcare Solutions directly before the date of service.
- What type of payer is Empower Healthcare Solutions?
- Empower Healthcare Solutions is a third-party administrator (TPA) operating in Arkansas.
- How does Empower Healthcare Solutions compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Empower Healthcare Solutions pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Empower Healthcare Solutions paying my ASC below market?
- Put your own Empower Healthcare Solutions 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.