Insurance Design Administrators
Insurance Design Administrators is a third-party administrator (TPA). For an ASC, what matters isn't the logo. It's how Insurance Design 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 Insurance Design Administrators analysis
Tell us where to send it. Our team will prepare an analysis of Insurance Design 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.
What Insights reveals
How Insurance Design Administrators pays
See how Insurance Design 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 Insurance Design Administrators concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Insurance Design Administrators and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Insurance Design 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 Insurance Design 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 Insurance Design Administrators
- Payer ID
- 13315 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Insurance Design Administrators through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Insurance Design Administrators members are verified before the date of service, through a clearinghouse using payer ID 13315or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Insurance Design Administrators directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Insurance Design Administrators the way it pays.
- What is Insurance Design Administrators's payer ID?
- Insurance Design Administrators's electronic payer ID is 13315. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Insurance Design Administrators through a clearinghouse.
- How do ASCs verify eligibility for Insurance Design Administrators members?
- Eligibility and benefits for Insurance Design Administrators members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 13315) or through the payer's provider portal.
- Does Insurance Design Administrators require prior authorization for ASC procedures?
- Prior-authorization requirements for Insurance Design Administrators are set per plan and per procedure. Confirm whether an authorization is required with Insurance Design Administrators directly before the date of service.
- What type of payer is Insurance Design Administrators?
- Insurance Design Administrators is a third-party administrator (TPA).
- How does Insurance Design Administrators compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Insurance Design 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 Insurance Design Administrators paying my ASC below market?
- Put your own Insurance Design 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.