Healthgram
Healthgram is a payer organization. For an ASC, what matters isn't the logo. It's how Healthgram 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 Healthgram analysis
Tell us where to send it. Our team will prepare an analysis of Healthgram 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 Healthgram pays
See how Healthgram 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 Healthgram concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Healthgram and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Healthgram'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 Healthgram up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Healthgram
- Payer ID
- 56144 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Healthgram through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Healthgram members are verified before the date of service, through a clearinghouse using payer ID 56144or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Healthgram directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Healthgram the way it pays.
- What is Healthgram's payer ID?
- Healthgram's electronic payer ID is 56144. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Healthgram through a clearinghouse.
- How do ASCs verify eligibility for Healthgram members?
- Eligibility and benefits for Healthgram members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 56144) or through the payer's provider portal.
- Does Healthgram require prior authorization for ASC procedures?
- Prior-authorization requirements for Healthgram are set per plan and per procedure. Confirm whether an authorization is required with Healthgram directly before the date of service.
- What type of payer is Healthgram?
- Healthgram is a payer organization.
- How does Healthgram compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Healthgram pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Healthgram paying my ASC below market?
- Put your own Healthgram 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.