One Health Plan California
One Health Plan California is a regional health plan. For an ASC, what matters isn't the logo. It's how One Health Plan California 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 One Health Plan California analysis
Tell us where to send it. Our team will prepare an analysis of One Health Plan California 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 One Health Plan California pays
See how One Health Plan California 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 One Health Plan California concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for One Health Plan California and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive One Health Plan California'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 One Health Plan California up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with One Health Plan California
- Payer ID
- 95379 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to One Health Plan California through a clearinghouse.
- Eligibility verification
- Coverage and benefits for One Health Plan California members are verified before the date of service, through a clearinghouse using payer ID 95379or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with One Health Plan California directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of One Health Plan California the way it pays.
- What is One Health Plan California's payer ID?
- One Health Plan California's electronic payer ID is 95379. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to One Health Plan California through a clearinghouse.
- How do ASCs verify eligibility for One Health Plan California members?
- Eligibility and benefits for One Health Plan California members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 95379) or through the payer's provider portal.
- Does One Health Plan California require prior authorization for ASC procedures?
- Prior-authorization requirements for One Health Plan California are set per plan and per procedure. Confirm whether an authorization is required with One Health Plan California directly before the date of service.
- What type of payer is One Health Plan California?
- One Health Plan California is a regional health plan.
- How does One Health Plan California compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where One Health Plan California pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is One Health Plan California paying my ASC below market?
- Put your own One Health Plan California 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.