Indian Health Services
Indian Health Services is a payer organization. For an ASC, what matters isn't the logo. It's how Indian Health Services 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 Indian Health Services analysis
Tell us where to send it. Our team will prepare an analysis of Indian Health Services 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 Indian Health Services pays
See how Indian Health Services 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 Indian Health Services concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Indian Health Services and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Indian Health Services'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 Indian Health Services up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Indian Health Services
- Payer ID
- 00290 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Indian Health Services through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Indian Health Services members are verified before the date of service, through a clearinghouse using payer ID 00290or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Indian Health Services directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Indian Health Services the way it pays.
- What is Indian Health Services's payer ID?
- Indian Health Services's electronic payer ID is 00290. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Indian Health Services through a clearinghouse.
- How do ASCs verify eligibility for Indian Health Services members?
- Eligibility and benefits for Indian Health Services members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 00290) or through the payer's provider portal.
- Does Indian Health Services require prior authorization for ASC procedures?
- Prior-authorization requirements for Indian Health Services are set per plan and per procedure. Confirm whether an authorization is required with Indian Health Services directly before the date of service.
- What type of payer is Indian Health Services?
- Indian Health Services is a payer organization.
- How does Indian Health Services compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Indian Health Services pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Indian Health Services paying my ASC below market?
- Put your own Indian Health Services 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.