PAI
PAI is a payer organization operating in California. For an ASC, what matters isn't the logo. It's how PAI 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 PAI analysis
Tell us where to send it. Our team will prepare an analysis of PAI 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 PAI pays
See how PAI 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
PAI's presence spans California. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for PAI and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive PAI'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 PAI up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with PAI
- Payer ID
- PAI03 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to PAI through a clearinghouse.
- Eligibility verification
- Coverage and benefits for PAI members are verified before the date of service, through a clearinghouse using payer ID PAI03or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with PAI directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of PAI the way it pays.
- What is PAI's payer ID?
- PAI's electronic payer ID is PAI03. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to PAI through a clearinghouse.
- How do ASCs verify eligibility for PAI members?
- Eligibility and benefits for PAI members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID PAI03) or through the payer's provider portal.
- Does PAI require prior authorization for ASC procedures?
- Prior-authorization requirements for PAI are set per plan and per procedure. Confirm whether an authorization is required with PAI directly before the date of service.
- What type of payer is PAI?
- PAI is a payer organization operating in California.
- How does PAI compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where PAI pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is PAI paying my ASC below market?
- Put your own PAI 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.