Umpqua Health
Umpqua Health is a payer organization operating in Oregon. For an ASC, what matters isn't the logo. It's how Umpqua Health 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 Umpqua Health analysis
Tell us where to send it. Our team will prepare an analysis of Umpqua Health 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 Umpqua Health pays
See how Umpqua Health 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
Umpqua Health's presence spans Oregon. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Umpqua Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Umpqua Health'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 Umpqua Health up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Umpqua Health
- Payer ID
- 77503 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Umpqua Health through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Umpqua Health members are verified before the date of service, through a clearinghouse using payer ID 77503or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Umpqua Health directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Umpqua Health the way it pays.
- What is Umpqua Health's payer ID?
- Umpqua Health's electronic payer ID is 77503. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Umpqua Health through a clearinghouse.
- How do ASCs verify eligibility for Umpqua Health members?
- Eligibility and benefits for Umpqua Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 77503) or through the payer's provider portal.
- Does Umpqua Health require prior authorization for ASC procedures?
- Prior-authorization requirements for Umpqua Health are set per plan and per procedure. Confirm whether an authorization is required with Umpqua Health directly before the date of service.
- What type of payer is Umpqua Health?
- Umpqua Health is a payer organization operating in Oregon.
- How does Umpqua Health compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Umpqua Health pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Umpqua Health paying my ASC below market?
- Put your own Umpqua Health 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.