Vaya Health
Vaya Health is a payer organization operating in North Carolina. For an ASC, what matters isn't the logo. It's how Vaya 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 Vaya Health analysis
Tell us where to send it. Our team will prepare an analysis of Vaya 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 Vaya Health pays
See how Vaya 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
Vaya Health's presence spans North Carolina. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Vaya Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Vaya 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 Vaya 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 Vaya Health
- Payer ID
- 13010 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Vaya Health through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Vaya Health members are verified before the date of service, through a clearinghouse using payer ID 13010or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Vaya Health directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Vaya Health the way it pays.
- What is Vaya Health's payer ID?
- Vaya Health's electronic payer ID is 13010. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Vaya Health through a clearinghouse.
- How do ASCs verify eligibility for Vaya Health members?
- Eligibility and benefits for Vaya Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 13010) or through the payer's provider portal.
- Does Vaya Health require prior authorization for ASC procedures?
- Prior-authorization requirements for Vaya Health are set per plan and per procedure. Confirm whether an authorization is required with Vaya Health directly before the date of service.
- What type of payer is Vaya Health?
- Vaya Health is a payer organization operating in North Carolina.
- How does Vaya Health compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Vaya 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 Vaya Health paying my ASC below market?
- Put your own Vaya 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.