GMS
GMS is a payer organization operating in Ohio. For an ASC, what matters isn't the logo. It's how GMS 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 GMS analysis
Tell us where to send it. Our team will prepare an analysis of GMS 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 GMS pays
See how GMS 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
GMS's presence spans Ohio. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for GMS and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive GMS'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 GMS up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with GMS
- Payer ID
- 47083 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to GMS through a clearinghouse.
- Eligibility verification
- Coverage and benefits for GMS members are verified before the date of service, through a clearinghouse using payer ID 47083or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with GMS directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of GMS the way it pays.
- What is GMS's payer ID?
- GMS's electronic payer ID is 47083. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to GMS through a clearinghouse.
- How do ASCs verify eligibility for GMS members?
- Eligibility and benefits for GMS members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 47083) or through the payer's provider portal.
- Does GMS require prior authorization for ASC procedures?
- Prior-authorization requirements for GMS are set per plan and per procedure. Confirm whether an authorization is required with GMS directly before the date of service.
- What type of payer is GMS?
- GMS is a payer organization operating in Ohio.
- How does GMS compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where GMS pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is GMS paying my ASC below market?
- Put your own GMS 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.