Sagamore Health Network
Sagamore Health Network is a payer organization. For an ASC, what matters isn't the logo. It's how Sagamore Health Network 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 Sagamore Health Network analysis
Tell us where to send it. Our team will prepare an analysis of Sagamore Health Network 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 Sagamore Health Network pays
See how Sagamore Health Network 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 Sagamore Health Network concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Sagamore Health Network and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Sagamore Health Network'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 Sagamore Health Network up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Sagamore Health Network
- Payer ID
- 35164 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Sagamore Health Network through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Sagamore Health Network members are verified before the date of service, through a clearinghouse using payer ID 35164or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Sagamore Health Network directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Sagamore Health Network the way it pays.
- What is Sagamore Health Network's payer ID?
- Sagamore Health Network's electronic payer ID is 35164. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Sagamore Health Network through a clearinghouse.
- How do ASCs verify eligibility for Sagamore Health Network members?
- Eligibility and benefits for Sagamore Health Network members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 35164) or through the payer's provider portal.
- Does Sagamore Health Network require prior authorization for ASC procedures?
- Prior-authorization requirements for Sagamore Health Network are set per plan and per procedure. Confirm whether an authorization is required with Sagamore Health Network directly before the date of service.
- What type of payer is Sagamore Health Network?
- Sagamore Health Network is a payer organization.
- How does Sagamore Health Network compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Sagamore Health Network pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Sagamore Health Network paying my ASC below market?
- Put your own Sagamore Health Network 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.