illumifin
illumifin is a payer organization. For an ASC, what matters isn't the logo. It's how illumifin 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 illumifin analysis
Tell us where to send it. Our team will prepare an analysis of illumifin 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 illumifin pays
See how illumifin 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 illumifin concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for illumifin and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive illumifin'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 illumifin up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with illumifin
- Payer ID
- 26119 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to illumifin through a clearinghouse.
- Eligibility verification
- Coverage and benefits for illumifin members are verified before the date of service, through a clearinghouse using payer ID 26119or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with illumifin directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of illumifin the way it pays.
- What is illumifin's payer ID?
- illumifin's electronic payer ID is 26119. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to illumifin through a clearinghouse.
- How do ASCs verify eligibility for illumifin members?
- Eligibility and benefits for illumifin members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 26119) or through the payer's provider portal.
- Does illumifin require prior authorization for ASC procedures?
- Prior-authorization requirements for illumifin are set per plan and per procedure. Confirm whether an authorization is required with illumifin directly before the date of service.
- What type of payer is illumifin?
- illumifin is a payer organization.
- How does illumifin compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where illumifin pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is illumifin paying my ASC below market?
- Put your own illumifin 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.