HealthTeam Advantage
HealthTeam Advantage is a Medicare Advantage plan operating in North Carolina. For an ASC, what matters isn't the logo. It's how HealthTeam Advantage 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 HealthTeam Advantage analysis
Tell us where to send it. Our team will prepare an analysis of HealthTeam Advantage 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 HealthTeam Advantage pays
See how HealthTeam Advantage 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
HealthTeam Advantage's presence spans North Carolina. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for HealthTeam Advantage and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive HealthTeam Advantage'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 HealthTeam Advantage up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with HealthTeam Advantage
- Payer ID
- 88250 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to HealthTeam Advantage through a clearinghouse.
- Eligibility verification
- Coverage and benefits for HealthTeam Advantage members are verified before the date of service, through a clearinghouse using payer ID 88250or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with HealthTeam Advantage directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of HealthTeam Advantage the way it pays.
- What is HealthTeam Advantage's payer ID?
- HealthTeam Advantage's electronic payer ID is 88250. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to HealthTeam Advantage through a clearinghouse.
- How do ASCs verify eligibility for HealthTeam Advantage members?
- Eligibility and benefits for HealthTeam Advantage members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 88250) or through the payer's provider portal.
- Does HealthTeam Advantage require prior authorization for ASC procedures?
- Prior-authorization requirements for HealthTeam Advantage are set per plan and per procedure. Confirm whether an authorization is required with HealthTeam Advantage directly before the date of service.
- What type of payer is HealthTeam Advantage?
- HealthTeam Advantage is a Medicare Advantage plan operating in North Carolina.
- How does HealthTeam Advantage compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where HealthTeam Advantage pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is HealthTeam Advantage paying my ASC below market?
- Put your own HealthTeam Advantage 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.