Professional Benefit Administrators
Who they are
Professional Benefit Administrators is a third-party administrator (TPA). For an ASC, what matters isn't the logo — it's how Professional Benefit Administrators pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
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What DataLily Insights shows
Whether you're an ASC benchmarking a contract or a provider team looking Professional Benefit Administrators up, DataLily Insights maps how it reimburses across procedures and markets — and where your own rates sit against the peer benchmark. Ask Rose and the answer comes back charted, in plain language, ending in a recommendation.
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A 15-minute walkthrough of Professional Benefit Administrators the way it pays.
What Insights reveals
What DataLily Insights reveals about Professional Benefit Administrators
Every benchmark runs across more than 100 billion data points spanning over 10 million providers, so you see Professional Benefit Administrators the way the market actually pays.
How Professional Benefit Administrators pays
See how Professional Benefit Administrators 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 Professional Benefit Administrators concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Professional Benefit Administrators and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Professional Benefit Administrators's volume, so you know where a rate change moves the needle.
Ask Rose
Questions to ask Rose about Professional Benefit Administrators
Rose answers in plain language, charts the result, and ends with a recommendation. Bring one of these to a demo.
Answered
Common questions about Professional Benefit Administrators
Straight answers on how Professional Benefit Administrators pays and where DataLily Insights fits.
What kind of payer is Professional Benefit Administrators?
Where does Professional Benefit Administrators operate?
How does Professional Benefit Administrators compare with other payers for ASC procedures?
Is Professional Benefit Administrators paying my ASC below market?
Related payers
Blue Cross Blue Shield of Michigan
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, District of Columbia
Bankers Fidelity Life Insurance Company
Alabama, Arkansas, Arizona, Colorado, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, Missouri, Mississippi, Montana, North Carolina, North Dakota, Nebraska, New Jersey, New Mexico, Nevada, Ohio, Oklahoma, Pennsylvania, Puerto Rico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wyoming
TRICARE East
Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin, District of Columbia
Devoted Health
Alabama, Arkansas, Arizona, Colorado, Delaware, Florida, Georgia, Hawaii, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Missouri, Mississippi, North Carolina, Nebraska, New Mexico, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington
TRICARE West Region
Alaska, Arizona, Arkansas, California, Colorado, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Minnesota, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, Wisconsin, Wyoming
Oscar Health
Alabama, Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia
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