Brown and Toland Medical Group
Brown and Toland Medical Group is a payer organization. For an ASC, what matters isn't the logo. It's how Brown and Toland Medical Group 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 Brown and Toland Medical Group analysis
Tell us where to send it. Our team will prepare an analysis of Brown and Toland Medical Group 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 Brown and Toland Medical Group pays
See how Brown and Toland Medical Group 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 Brown and Toland Medical Group concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Brown and Toland Medical Group and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Brown and Toland Medical Group'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 Brown and Toland Medical Group up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Brown and Toland Medical Group
- Payer ID
- 94316 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Brown and Toland Medical Group through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Brown and Toland Medical Group members are verified before the date of service, through a clearinghouse using payer ID 94316or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Brown and Toland Medical Group directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Brown and Toland Medical Group the way it pays.
- What is Brown and Toland Medical Group's payer ID?
- Brown and Toland Medical Group's electronic payer ID is 94316. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Brown and Toland Medical Group through a clearinghouse.
- How do ASCs verify eligibility for Brown and Toland Medical Group members?
- Eligibility and benefits for Brown and Toland Medical Group members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 94316) or through the payer's provider portal.
- Does Brown and Toland Medical Group require prior authorization for ASC procedures?
- Prior-authorization requirements for Brown and Toland Medical Group are set per plan and per procedure. Confirm whether an authorization is required with Brown and Toland Medical Group directly before the date of service.
- What type of payer is Brown and Toland Medical Group?
- Brown and Toland Medical Group is a payer organization.
- How does Brown and Toland Medical Group compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Brown and Toland Medical Group pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Brown and Toland Medical Group paying my ASC below market?
- Put your own Brown and Toland Medical Group 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.