Unified Group Services
Unified Group Services is a third-party administrator (TPA). For an ASC, what matters isn't the logo. It's how Unified Group Services 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 Unified Group Services analysis
Tell us where to send it. Our team will prepare an analysis of Unified Group Services 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 Unified Group Services pays
See how Unified Group Services 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 Unified Group Services concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Unified Group Services and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Unified Group Services'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 Unified Group Services up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Unified Group Services
- Payer ID
- 35198 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Unified Group Services through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Unified Group Services members are verified before the date of service, through a clearinghouse using payer ID 35198or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Unified Group Services directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Unified Group Services the way it pays.
- What is Unified Group Services's payer ID?
- Unified Group Services's electronic payer ID is 35198. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Unified Group Services through a clearinghouse.
- How do ASCs verify eligibility for Unified Group Services members?
- Eligibility and benefits for Unified Group Services members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 35198) or through the payer's provider portal.
- Does Unified Group Services require prior authorization for ASC procedures?
- Prior-authorization requirements for Unified Group Services are set per plan and per procedure. Confirm whether an authorization is required with Unified Group Services directly before the date of service.
- What type of payer is Unified Group Services?
- Unified Group Services is a third-party administrator (TPA).
- How does Unified Group Services compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Unified Group Services pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Unified Group Services paying my ASC below market?
- Put your own Unified Group Services 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.