Preferred Administrators
Preferred Administrators is a third-party administrator (TPA) operating in Texas. For an ASC, what matters isn't the logo. It's how Preferred 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 Preferred Administrators analysis
Tell us where to send it. Our team will prepare an analysis of Preferred 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 Preferred Administrators pays
See how Preferred 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
Preferred Administrators's presence spans Texas. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Preferred Administrators and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Preferred 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 Preferred 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 Preferred Administrators
- Payer ID
- 60338 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Preferred Administrators through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Preferred Administrators members are verified before the date of service, through a clearinghouse using payer ID 60338or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Preferred Administrators directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Preferred Administrators the way it pays.
- What is Preferred Administrators's payer ID?
- Preferred Administrators's electronic payer ID is 60338. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Preferred Administrators through a clearinghouse.
- How do ASCs verify eligibility for Preferred Administrators members?
- Eligibility and benefits for Preferred Administrators members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 60338) or through the payer's provider portal.
- Does Preferred Administrators require prior authorization for ASC procedures?
- Prior-authorization requirements for Preferred Administrators are set per plan and per procedure. Confirm whether an authorization is required with Preferred Administrators directly before the date of service.
- What type of payer is Preferred Administrators?
- Preferred Administrators is a third-party administrator (TPA) operating in Texas.
- How does Preferred Administrators compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Preferred 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 Preferred Administrators paying my ASC below market?
- Put your own Preferred 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.