FairPrice
FairPrice is a payer organization. For an ASC, what matters isn't the logo. It's how FairPrice 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 FairPrice analysis
Tell us where to send it. Our team will prepare an analysis of FairPrice 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 FairPrice pays
See how FairPrice 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 FairPrice concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for FairPrice and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive FairPrice'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 FairPrice up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with FairPrice
- Payer ID
- 62956 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to FairPrice through a clearinghouse.
- Eligibility verification
- Coverage and benefits for FairPrice members are verified before the date of service, through a clearinghouse using payer ID 62956or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with FairPrice directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of FairPrice the way it pays.
- What is FairPrice's payer ID?
- FairPrice's electronic payer ID is 62956. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to FairPrice through a clearinghouse.
- How do ASCs verify eligibility for FairPrice members?
- Eligibility and benefits for FairPrice members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 62956) or through the payer's provider portal.
- Does FairPrice require prior authorization for ASC procedures?
- Prior-authorization requirements for FairPrice are set per plan and per procedure. Confirm whether an authorization is required with FairPrice directly before the date of service.
- What type of payer is FairPrice?
- FairPrice is a payer organization.
- How does FairPrice compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where FairPrice pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is FairPrice paying my ASC below market?
- Put your own FairPrice 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.