Pekin Insurance
Pekin Insurance is a payer organization operating in Arizona, Georgia, Iowa, and 12 more states. For an ASC, what matters isn't the logo. It's how Pekin Insurance 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 Pekin Insurance analysis
Tell us where to send it. Our team will prepare an analysis of Pekin Insurance 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 Pekin Insurance pays
See how Pekin Insurance 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
Pekin Insurance's presence spans Arizona, Georgia, Iowa, and 12 more states. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Pekin Insurance and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Pekin Insurance'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 Pekin Insurance up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Pekin Insurance
- Payer ID
- 37086 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Pekin Insurance through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Pekin Insurance members are verified before the date of service, through a clearinghouse using payer ID 37086or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Pekin Insurance directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Pekin Insurance the way it pays.
- What is Pekin Insurance's payer ID?
- Pekin Insurance's electronic payer ID is 37086. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Pekin Insurance through a clearinghouse.
- How do ASCs verify eligibility for Pekin Insurance members?
- Eligibility and benefits for Pekin Insurance members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 37086) or through the payer's provider portal.
- Does Pekin Insurance require prior authorization for ASC procedures?
- Prior-authorization requirements for Pekin Insurance are set per plan and per procedure. Confirm whether an authorization is required with Pekin Insurance directly before the date of service.
- What type of payer is Pekin Insurance?
- Pekin Insurance is a payer organization operating in Arizona, Georgia, Iowa, and 12 more states.
- How does Pekin Insurance compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Pekin Insurance pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Pekin Insurance paying my ASC below market?
- Put your own Pekin Insurance 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.