Frontier Direct Care
Frontier Direct Care is a payer organization operating in Texas. For an ASC, what matters isn't the logo. It's how Frontier Direct Care 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 Frontier Direct Care analysis
Tell us where to send it. Our team will prepare an analysis of Frontier Direct Care 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 Frontier Direct Care pays
See how Frontier Direct Care 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
Frontier Direct Care's presence spans Texas. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Frontier Direct Care and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Frontier Direct Care'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 Frontier Direct Care up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Frontier Direct Care
- Payer ID
- IHS14 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Frontier Direct Care through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Frontier Direct Care members are verified before the date of service, through a clearinghouse using payer ID IHS14or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Frontier Direct Care directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Frontier Direct Care the way it pays.
- What is Frontier Direct Care's payer ID?
- Frontier Direct Care's electronic payer ID is IHS14. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Frontier Direct Care through a clearinghouse.
- How do ASCs verify eligibility for Frontier Direct Care members?
- Eligibility and benefits for Frontier Direct Care members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID IHS14) or through the payer's provider portal.
- Does Frontier Direct Care require prior authorization for ASC procedures?
- Prior-authorization requirements for Frontier Direct Care are set per plan and per procedure. Confirm whether an authorization is required with Frontier Direct Care directly before the date of service.
- What type of payer is Frontier Direct Care?
- Frontier Direct Care is a payer organization operating in Texas.
- How does Frontier Direct Care compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Frontier Direct Care pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Frontier Direct Care paying my ASC below market?
- Put your own Frontier Direct Care 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.