United Claim Solutions
United Claim Solutions is a third-party administrator (TPA). For an ASC, what matters isn't the logo. It's how United Claim Solutions 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 United Claim Solutions analysis
Tell us where to send it. Our team will prepare an analysis of United Claim Solutions 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 United Claim Solutions pays
See how United Claim Solutions 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 United Claim Solutions concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for United Claim Solutions and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive United Claim Solutions'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 United Claim Solutions up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with United Claim Solutions
- Payer ID
- 20090 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to United Claim Solutions through a clearinghouse.
- Eligibility verification
- Coverage and benefits for United Claim Solutions members are verified before the date of service, through a clearinghouse using payer ID 20090or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with United Claim Solutions directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of United Claim Solutions the way it pays.
- What is United Claim Solutions's payer ID?
- United Claim Solutions's electronic payer ID is 20090. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to United Claim Solutions through a clearinghouse.
- How do ASCs verify eligibility for United Claim Solutions members?
- Eligibility and benefits for United Claim Solutions members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 20090) or through the payer's provider portal.
- Does United Claim Solutions require prior authorization for ASC procedures?
- Prior-authorization requirements for United Claim Solutions are set per plan and per procedure. Confirm whether an authorization is required with United Claim Solutions directly before the date of service.
- What type of payer is United Claim Solutions?
- United Claim Solutions is a third-party administrator (TPA).
- How does United Claim Solutions compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where United Claim Solutions pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is United Claim Solutions paying my ASC below market?
- Put your own United Claim Solutions 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.