All payers

Insight Benefit Administrators

Insight Benefit Administrators is a third-party administrator (TPA). For an ASC, what matters isn't the logo. It's how Insight Benefit Administrators 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 Insight Benefit Administrators analysis

Tell us where to send it. Our team will prepare an analysis of Insight Benefit Administrators 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 Insight Benefit Administrators pays

    See how Insight Benefit Administrators 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 Insight Benefit Administrators concentrates and how its presence shapes the markets you compete in.

  • Peer position

    Put your own position next to the benchmark for Insight Benefit Administrators and bring the gap to your next contract conversation.

  • Specialty mix

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

Reference

Working with Insight Benefit Administrators

Payer ID
96436 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Insight Benefit Administrators through a clearinghouse.
Eligibility verification
Coverage and benefits for Insight Benefit Administrators members are verified before the date of service, through a clearinghouse using payer ID 96436or through the payer's provider portal.
Prior authorization
Requirements are set per plan and per procedure. Confirm whether an authorization is required with Insight Benefit Administrators directly before the date of service.

Book a demo: pick a time

A 15-minute walkthrough of Insight Benefit Administrators the way it pays.

What is Insight Benefit Administrators's payer ID?
Insight Benefit Administrators's electronic payer ID is 96436. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Insight Benefit Administrators through a clearinghouse.
How do ASCs verify eligibility for Insight Benefit Administrators members?
Eligibility and benefits for Insight Benefit Administrators members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 96436) or through the payer's provider portal.
Does Insight Benefit Administrators require prior authorization for ASC procedures?
Prior-authorization requirements for Insight Benefit Administrators are set per plan and per procedure. Confirm whether an authorization is required with Insight Benefit Administrators directly before the date of service.
What type of payer is Insight Benefit Administrators?
Insight Benefit Administrators is a third-party administrator (TPA).
How does Insight Benefit Administrators compare with other payers for ASC procedures?
Ask Rose and you get a plain-language read on where Insight Benefit Administrators pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
Is Insight Benefit Administrators paying my ASC below market?
Put your own Insight Benefit Administrators 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