Preferred Provider Organization Plus LLC
Preferred Provider Organization Plus LLC is a payer organization. For an ASC, what matters isn't the logo. It's how Preferred Provider Organization Plus LLC 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 Provider Organization Plus LLC analysis
Tell us where to send it. Our team will prepare an analysis of Preferred Provider Organization Plus LLC 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 Provider Organization Plus LLC pays
See how Preferred Provider Organization Plus LLC 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 Preferred Provider Organization Plus LLC concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Preferred Provider Organization Plus LLC and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Preferred Provider Organization Plus LLC'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 Provider Organization Plus LLC 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 Provider Organization Plus LLC
- Payer ID
- 72148 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Preferred Provider Organization Plus LLC through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Preferred Provider Organization Plus LLC members are verified before the date of service, through a clearinghouse using payer ID 72148or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Preferred Provider Organization Plus LLC directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Preferred Provider Organization Plus LLC the way it pays.
- What is Preferred Provider Organization Plus LLC's payer ID?
- Preferred Provider Organization Plus LLC's electronic payer ID is 72148. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Preferred Provider Organization Plus LLC through a clearinghouse.
- How do ASCs verify eligibility for Preferred Provider Organization Plus LLC members?
- Eligibility and benefits for Preferred Provider Organization Plus LLC members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 72148) or through the payer's provider portal.
- Does Preferred Provider Organization Plus LLC require prior authorization for ASC procedures?
- Prior-authorization requirements for Preferred Provider Organization Plus LLC are set per plan and per procedure. Confirm whether an authorization is required with Preferred Provider Organization Plus LLC directly before the date of service.
- What type of payer is Preferred Provider Organization Plus LLC?
- Preferred Provider Organization Plus LLC is a payer organization.
- How does Preferred Provider Organization Plus LLC compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Preferred Provider Organization Plus LLC 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 Provider Organization Plus LLC paying my ASC below market?
- Put your own Preferred Provider Organization Plus LLC 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.