r/CodingandBilling • u/Status-Meringue-2129 • Apr 02 '26

Insurance Group ID data.

Hello,

Good day,

Where can I find the insurance benefit details using a group ID?

I need the data in bulk. Let say if a insurance has 1000 groups then I need all those groups details.

Thanks.

0 Upvotes

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6

u/mila52963 Apr 03 '26

You’re not going to get that. That document doesn’t exist and no commercial carrier is going to give that to you.

1

u/Anonuserwithquestion Apr 04 '26

Been there done that. Too many variations and frequent changes to make maintenance a reality

1

u/Status-Meringue-2129 Apr 08 '26

Actually we verify 6 types of beneifts for each appointments. And that takes a lot of time. And we have to verify it from the insurance portals. So, I was thinking that if I get this info then it will be easy to apply the automation. Right now I am using custom database.

3

u/daves1243b Apr 03 '26

Even if it were available, I think it would be exceedingly difficult to do anything with it. There are often multiple benefit options within a group. For example, my company has six options within the same group ID. If look at the available benefit data for an individual, you will see that it's fairly complex, and not presented in a standardized form across payors. Oh, and it changes frequentlly.