UnitedHealthcare
UnitedHealthcare is a payer organization operating in Guam. For an ASC, what matters isn't the logo. It's how UnitedHealthcare 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 UnitedHealthcare analysis
Tell us where to send it. Our team will prepare an analysis of UnitedHealthcare 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 UnitedHealthcare pays
See how UnitedHealthcare 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
UnitedHealthcare's presence spans Guam. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for UnitedHealthcare and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive UnitedHealthcare'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 UnitedHealthcare up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with UnitedHealthcare
- Payer ID
- 87726 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to UnitedHealthcare through a clearinghouse.
- Eligibility verification
- Coverage and benefits for UnitedHealthcare members are verified before the date of service, through a clearinghouse using payer ID 87726or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with UnitedHealthcare directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of UnitedHealthcare the way it pays.
- What is UnitedHealthcare's payer ID?
- UnitedHealthcare's electronic payer ID is 87726. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to UnitedHealthcare through a clearinghouse.
- How do ASCs verify eligibility for UnitedHealthcare members?
- Eligibility and benefits for UnitedHealthcare members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 87726) or through the payer's provider portal.
- Does UnitedHealthcare require prior authorization for ASC procedures?
- Prior-authorization requirements for UnitedHealthcare are set per plan and per procedure. Confirm whether an authorization is required with UnitedHealthcare directly before the date of service.
- What type of payer is UnitedHealthcare?
- UnitedHealthcare is a payer organization operating in Guam.
- How does UnitedHealthcare compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where UnitedHealthcare pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is UnitedHealthcare paying my ASC below market?
- Put your own UnitedHealthcare 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.