CareCentrix Wellcare
CareCentrix Wellcare is a payer organization. For an ASC, what matters isn't the logo. It's how CareCentrix Wellcare 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 CareCentrix Wellcare analysis
Tell us where to send it. Our team will prepare an analysis of CareCentrix Wellcare 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 CareCentrix Wellcare pays
See how CareCentrix Wellcare 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 CareCentrix Wellcare concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for CareCentrix Wellcare and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive CareCentrix Wellcare'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 CareCentrix Wellcare up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with CareCentrix Wellcare
- Payer ID
- 11350 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to CareCentrix Wellcare through a clearinghouse.
- Eligibility verification
- Coverage and benefits for CareCentrix Wellcare members are verified before the date of service, through a clearinghouse using payer ID 11350or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with CareCentrix Wellcare directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of CareCentrix Wellcare the way it pays.
- What is CareCentrix Wellcare's payer ID?
- CareCentrix Wellcare's electronic payer ID is 11350. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to CareCentrix Wellcare through a clearinghouse.
- How do ASCs verify eligibility for CareCentrix Wellcare members?
- Eligibility and benefits for CareCentrix Wellcare members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 11350) or through the payer's provider portal.
- Does CareCentrix Wellcare require prior authorization for ASC procedures?
- Prior-authorization requirements for CareCentrix Wellcare are set per plan and per procedure. Confirm whether an authorization is required with CareCentrix Wellcare directly before the date of service.
- What type of payer is CareCentrix Wellcare?
- CareCentrix Wellcare is a payer organization.
- How does CareCentrix Wellcare compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where CareCentrix Wellcare pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is CareCentrix Wellcare paying my ASC below market?
- Put your own CareCentrix Wellcare 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.