Evernorth
Evernorth is a payer organization. For an ASC, what matters isn't the logo. It's how Evernorth 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 Evernorth analysis
Tell us where to send it. Our team will prepare an analysis of Evernorth 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 Evernorth pays
See how Evernorth 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 Evernorth concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Evernorth and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Evernorth'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 Evernorth up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Evernorth
- Payer ID
- 62350 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Evernorth through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Evernorth members are verified before the date of service, through a clearinghouse using payer ID 62350or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Evernorth directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Evernorth the way it pays.
- What is Evernorth's payer ID?
- Evernorth's electronic payer ID is 62350. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Evernorth through a clearinghouse.
- How do ASCs verify eligibility for Evernorth members?
- Eligibility and benefits for Evernorth members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 62350) or through the payer's provider portal.
- Does Evernorth require prior authorization for ASC procedures?
- Prior-authorization requirements for Evernorth are set per plan and per procedure. Confirm whether an authorization is required with Evernorth directly before the date of service.
- What type of payer is Evernorth?
- Evernorth is a payer organization.
- How does Evernorth compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Evernorth pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Evernorth paying my ASC below market?
- Put your own Evernorth 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.