Yale Health
Yale Health is a payer organization operating in Connecticut. For an ASC, what matters isn't the logo. It's how Yale 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 Yale Health analysis
Tell us where to send it. Our team will prepare an analysis of Yale 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 Yale Health pays
See how Yale 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
Yale Health's presence spans Connecticut. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Yale Health and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Yale 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 Yale 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 Yale Health
- Payer ID
- 60646 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Yale Health through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Yale Health members are verified before the date of service, through a clearinghouse using payer ID 60646or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Yale Health directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Yale Health the way it pays.
- What is Yale Health's payer ID?
- Yale Health's electronic payer ID is 60646. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Yale Health through a clearinghouse.
- How do ASCs verify eligibility for Yale Health members?
- Eligibility and benefits for Yale Health members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 60646) or through the payer's provider portal.
- Does Yale Health require prior authorization for ASC procedures?
- Prior-authorization requirements for Yale Health are set per plan and per procedure. Confirm whether an authorization is required with Yale Health directly before the date of service.
- What type of payer is Yale Health?
- Yale Health is a payer organization operating in Connecticut.
- How does Yale Health compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Yale 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 Yale Health paying my ASC below market?
- Put your own Yale 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.