SGIC
SGIC is a payer organization. For an ASC, what matters isn't the logo. It's how SGIC 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 SGIC analysis
Tell us where to send it. Our team will prepare an analysis of SGIC 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 SGIC pays
See how SGIC 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 SGIC concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for SGIC and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive SGIC'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 SGIC up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with SGIC
- Payer ID
- 11789 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to SGIC through a clearinghouse.
- Eligibility verification
- Coverage and benefits for SGIC members are verified before the date of service, through a clearinghouse using payer ID 11789or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with SGIC directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of SGIC the way it pays.
- What is SGIC's payer ID?
- SGIC's electronic payer ID is 11789. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to SGIC through a clearinghouse.
- How do ASCs verify eligibility for SGIC members?
- Eligibility and benefits for SGIC members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 11789) or through the payer's provider portal.
- Does SGIC require prior authorization for ASC procedures?
- Prior-authorization requirements for SGIC are set per plan and per procedure. Confirm whether an authorization is required with SGIC directly before the date of service.
- What type of payer is SGIC?
- SGIC is a payer organization.
- How does SGIC compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where SGIC pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is SGIC paying my ASC below market?
- Put your own SGIC 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.