Mountain Health Co-op
Mountain Health Co-op is a payer organization operating in Idaho, Montana, and Wyoming. For an ASC, what matters isn't the logo. It's how Mountain Health Co-op 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 Mountain Health Co-op analysis
Tell us where to send it. Our team will prepare an analysis of Mountain Health Co-op 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 Mountain Health Co-op pays
See how Mountain Health Co-op 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
Mountain Health Co-op's presence spans Idaho, Montana, and Wyoming. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Mountain Health Co-op and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Mountain Health Co-op'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 Mountain Health Co-op up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Mountain Health Co-op
- Payer ID
- MHC01 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Mountain Health Co-op through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Mountain Health Co-op members are verified before the date of service, through a clearinghouse using payer ID MHC01or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Mountain Health Co-op directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Mountain Health Co-op the way it pays.
- What is Mountain Health Co-op's payer ID?
- Mountain Health Co-op's electronic payer ID is MHC01. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Mountain Health Co-op through a clearinghouse.
- How do ASCs verify eligibility for Mountain Health Co-op members?
- Eligibility and benefits for Mountain Health Co-op members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID MHC01) or through the payer's provider portal.
- Does Mountain Health Co-op require prior authorization for ASC procedures?
- Prior-authorization requirements for Mountain Health Co-op are set per plan and per procedure. Confirm whether an authorization is required with Mountain Health Co-op directly before the date of service.
- What type of payer is Mountain Health Co-op?
- Mountain Health Co-op is a payer organization operating in Idaho, Montana, and Wyoming.
- How does Mountain Health Co-op compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Mountain Health Co-op pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Mountain Health Co-op paying my ASC below market?
- Put your own Mountain Health Co-op 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.