Silver Star
Silver Star is a payer organization operating in Texas. For an ASC, what matters isn't the logo. It's how Silver Star 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 Silver Star analysis
Tell us where to send it. Our team will prepare an analysis of Silver Star 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 Silver Star pays
See how Silver Star 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
Silver Star'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 Silver Star and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Silver Star'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 Silver Star up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Silver Star
- Payer ID
- 97691 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Silver Star through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Silver Star members are verified before the date of service, through a clearinghouse using payer ID 97691or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Silver Star directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Silver Star the way it pays.
- What is Silver Star's payer ID?
- Silver Star's electronic payer ID is 97691. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Silver Star through a clearinghouse.
- How do ASCs verify eligibility for Silver Star members?
- Eligibility and benefits for Silver Star members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 97691) or through the payer's provider portal.
- Does Silver Star require prior authorization for ASC procedures?
- Prior-authorization requirements for Silver Star are set per plan and per procedure. Confirm whether an authorization is required with Silver Star directly before the date of service.
- What type of payer is Silver Star?
- Silver Star is a payer organization operating in Texas.
- How does Silver Star compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Silver Star pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Silver Star paying my ASC below market?
- Put your own Silver Star 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.