USFHP Saint Vincent
USFHP Saint Vincent is a payer organization. For an ASC, what matters isn't the logo. It's how USFHP Saint Vincent 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 USFHP Saint Vincent analysis
Tell us where to send it. Our team will prepare an analysis of USFHP Saint Vincent 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 USFHP Saint Vincent pays
See how USFHP Saint Vincent 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 USFHP Saint Vincent concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for USFHP Saint Vincent and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive USFHP Saint Vincent'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 USFHP Saint Vincent up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with USFHP Saint Vincent
- Payer ID
- 13407 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to USFHP Saint Vincent through a clearinghouse.
- Eligibility verification
- Coverage and benefits for USFHP Saint Vincent members are verified before the date of service, through a clearinghouse using payer ID 13407or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with USFHP Saint Vincent directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of USFHP Saint Vincent the way it pays.
- What is USFHP Saint Vincent's payer ID?
- USFHP Saint Vincent's electronic payer ID is 13407. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to USFHP Saint Vincent through a clearinghouse.
- How do ASCs verify eligibility for USFHP Saint Vincent members?
- Eligibility and benefits for USFHP Saint Vincent members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 13407) or through the payer's provider portal.
- Does USFHP Saint Vincent require prior authorization for ASC procedures?
- Prior-authorization requirements for USFHP Saint Vincent are set per plan and per procedure. Confirm whether an authorization is required with USFHP Saint Vincent directly before the date of service.
- What type of payer is USFHP Saint Vincent?
- USFHP Saint Vincent is a payer organization.
- How does USFHP Saint Vincent compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where USFHP Saint Vincent pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is USFHP Saint Vincent paying my ASC below market?
- Put your own USFHP Saint Vincent 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.