WPAS
WPAS is a payer organization. For an ASC, what matters isn't the logo. It's how WPAS 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 WPAS analysis
Tell us where to send it. Our team will prepare an analysis of WPAS 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 WPAS pays
See how WPAS 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 WPAS concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for WPAS and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive WPAS'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 WPAS up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with WPAS
- Payer ID
- 91136 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to WPAS through a clearinghouse.
- Eligibility verification
- Coverage and benefits for WPAS members are verified before the date of service, through a clearinghouse using payer ID 91136or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with WPAS directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of WPAS the way it pays.
- What is WPAS's payer ID?
- WPAS's electronic payer ID is 91136. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to WPAS through a clearinghouse.
- How do ASCs verify eligibility for WPAS members?
- Eligibility and benefits for WPAS members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 91136) or through the payer's provider portal.
- Does WPAS require prior authorization for ASC procedures?
- Prior-authorization requirements for WPAS are set per plan and per procedure. Confirm whether an authorization is required with WPAS directly before the date of service.
- What type of payer is WPAS?
- WPAS is a payer organization.
- How does WPAS compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where WPAS pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is WPAS paying my ASC below market?
- Put your own WPAS 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.