Endeavor Health
Endeavor Health is a payer organization operating in Illinois. For an ASC, what matters isn't the logo. It's how Endeavor 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 Endeavor Health analysis
Tell us where to send it. Our team will prepare an analysis of Endeavor 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 Endeavor Health pays
See how Endeavor 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
Endeavor Health's presence spans Illinois. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Endeavor Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Endeavor 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 Endeavor 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 Endeavor Health
- Payer ID
- 36364 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Endeavor Health through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Endeavor Health members are verified before the date of service, through a clearinghouse using payer ID 36364or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Endeavor Health directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Endeavor Health the way it pays.
- What is Endeavor Health's payer ID?
- Endeavor Health's electronic payer ID is 36364. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Endeavor Health through a clearinghouse.
- How do ASCs verify eligibility for Endeavor Health members?
- Eligibility and benefits for Endeavor Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 36364) or through the payer's provider portal.
- Does Endeavor Health require prior authorization for ASC procedures?
- Prior-authorization requirements for Endeavor Health are set per plan and per procedure. Confirm whether an authorization is required with Endeavor Health directly before the date of service.
- What type of payer is Endeavor Health?
- Endeavor Health is a payer organization operating in Illinois.
- How does Endeavor Health compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Endeavor 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 Endeavor Health paying my ASC below market?
- Put your own Endeavor 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.