All payers

Imagine360

Imagine360 is a payer organization. For an ASC, what matters isn't the logo. It's how Imagine360 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 Imagine360 analysis

Tell us where to send it. Our team will prepare an analysis of Imagine360 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.

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What Insights reveals

  • How Imagine360 pays

    See how Imagine360 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 Imagine360 concentrates and how its presence shapes the markets you compete in.

  • Peer position

    Put your own position next to the benchmark for Imagine360 and bring the gap to your next contract conversation.

  • Specialty mix

    Understand which procedures and specialties drive Imagine360'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 Imagine360 up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.

Reference

Working with Imagine360

Payer ID
48143 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Imagine360 through a clearinghouse.
Eligibility verification
Coverage and benefits for Imagine360 members are verified before the date of service, through a clearinghouse using payer ID 48143or through the payer's provider portal.
Prior authorization
Requirements are set per plan and per procedure. Confirm whether an authorization is required with Imagine360 directly before the date of service.

Book a demo: pick a time

A 15-minute walkthrough of Imagine360 the way it pays.

What is Imagine360's payer ID?
Imagine360's electronic payer ID is 48143. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Imagine360 through a clearinghouse.
How do ASCs verify eligibility for Imagine360 members?
Eligibility and benefits for Imagine360 members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 48143) or through the payer's provider portal.
Does Imagine360 require prior authorization for ASC procedures?
Prior-authorization requirements for Imagine360 are set per plan and per procedure. Confirm whether an authorization is required with Imagine360 directly before the date of service.
What type of payer is Imagine360?
Imagine360 is a payer organization.
How does Imagine360 compare with other payers for ASC procedures?
Ask Rose and you get a plain-language read on where Imagine360 pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
Is Imagine360 paying my ASC below market?
Put your own Imagine360 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.
The pilot

A pilot that proves itself in days.

A product goes live and the results show up before the questions do.

  • NDA signed before we start
  • HIPAA-grade Business Associate Agreement (BAA) in place
  • Scoped to one high-impact workflow at a time
Ready to move forward?

Here’s what getting started looks like.

Setup time
< 1 day
Integration
No integration (Phase 1 pilot)
Contract
Month-to-month
HIPAA compliant · BAA included