Health Plan of Upper Ohio Valley
Health Plan of Upper Ohio Valley is a regional health plan operating in West Virginia. For an ASC, what matters isn't the logo. It's how Health Plan of Upper Ohio Valley 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 Health Plan of Upper Ohio Valley analysis
Tell us where to send it. Our team will prepare an analysis of Health Plan of Upper Ohio Valley 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 Health Plan of Upper Ohio Valley pays
See how Health Plan of Upper Ohio Valley 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
Health Plan of Upper Ohio Valley's presence spans West Virginia. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Health Plan of Upper Ohio Valley and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Health Plan of Upper Ohio Valley'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 Health Plan of Upper Ohio Valley up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Health Plan of Upper Ohio Valley
- Payer ID
- 95677 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Health Plan of Upper Ohio Valley through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Health Plan of Upper Ohio Valley members are verified before the date of service, through a clearinghouse using payer ID 95677or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Health Plan of Upper Ohio Valley directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Health Plan of Upper Ohio Valley the way it pays.
- What is Health Plan of Upper Ohio Valley's payer ID?
- Health Plan of Upper Ohio Valley's electronic payer ID is 95677. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Health Plan of Upper Ohio Valley through a clearinghouse.
- How do ASCs verify eligibility for Health Plan of Upper Ohio Valley members?
- Eligibility and benefits for Health Plan of Upper Ohio Valley members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 95677) or through the payer's provider portal.
- Does Health Plan of Upper Ohio Valley require prior authorization for ASC procedures?
- Prior-authorization requirements for Health Plan of Upper Ohio Valley are set per plan and per procedure. Confirm whether an authorization is required with Health Plan of Upper Ohio Valley directly before the date of service.
- What type of payer is Health Plan of Upper Ohio Valley?
- Health Plan of Upper Ohio Valley is a regional health plan operating in West Virginia.
- How does Health Plan of Upper Ohio Valley compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Health Plan of Upper Ohio Valley pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Health Plan of Upper Ohio Valley paying my ASC below market?
- Put your own Health Plan of Upper Ohio Valley 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.