Group and Pension Administrators
Group and Pension Administrators is a third-party administrator (TPA). For an ASC, what matters isn't the logo. It's how Group and Pension Administrators 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 Group and Pension Administrators analysis
Tell us where to send it. Our team will prepare an analysis of Group and Pension Administrators 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 Group and Pension Administrators pays
See how Group and Pension Administrators 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 Group and Pension Administrators concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Group and Pension Administrators and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Group and Pension Administrators'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 Group and Pension Administrators up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Group and Pension Administrators
- Payer ID
- 101045 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Group and Pension Administrators through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Group and Pension Administrators members are verified before the date of service, through a clearinghouse using payer ID 101045or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Group and Pension Administrators directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Group and Pension Administrators the way it pays.
- What is Group and Pension Administrators's payer ID?
- Group and Pension Administrators's electronic payer ID is 101045. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Group and Pension Administrators through a clearinghouse.
- How do ASCs verify eligibility for Group and Pension Administrators members?
- Eligibility and benefits for Group and Pension Administrators members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 101045) or through the payer's provider portal.
- Does Group and Pension Administrators require prior authorization for ASC procedures?
- Prior-authorization requirements for Group and Pension Administrators are set per plan and per procedure. Confirm whether an authorization is required with Group and Pension Administrators directly before the date of service.
- What type of payer is Group and Pension Administrators?
- Group and Pension Administrators is a third-party administrator (TPA).
- How does Group and Pension Administrators compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Group and Pension Administrators pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Group and Pension Administrators paying my ASC below market?
- Put your own Group and Pension Administrators 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.