CareCore National (Evicore)
CareCore National (Evicore) is a payer organization. For an ASC, what matters isn't the logo. It's how CareCore National (Evicore) 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 CareCore National (Evicore) analysis
Tell us where to send it. Our team will prepare an analysis of CareCore National (Evicore) 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 CareCore National (Evicore) pays
See how CareCore National (Evicore) 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 CareCore National (Evicore) concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for CareCore National (Evicore) and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive CareCore National (Evicore)'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 CareCore National (Evicore) up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with CareCore National (Evicore)
- Payer ID
- 14182 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to CareCore National (Evicore) through a clearinghouse.
- Eligibility verification
- Coverage and benefits for CareCore National (Evicore) members are verified before the date of service, through a clearinghouse using payer ID 14182or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with CareCore National (Evicore) directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of CareCore National (Evicore) the way it pays.
- What is CareCore National (Evicore)'s payer ID?
- CareCore National (Evicore)'s electronic payer ID is 14182. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to CareCore National (Evicore) through a clearinghouse.
- How do ASCs verify eligibility for CareCore National (Evicore) members?
- Eligibility and benefits for CareCore National (Evicore) members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 14182) or through the payer's provider portal.
- Does CareCore National (Evicore) require prior authorization for ASC procedures?
- Prior-authorization requirements for CareCore National (Evicore) are set per plan and per procedure. Confirm whether an authorization is required with CareCore National (Evicore) directly before the date of service.
- What type of payer is CareCore National (Evicore)?
- CareCore National (Evicore) is a payer organization.
- How does CareCore National (Evicore) compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where CareCore National (Evicore) pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is CareCore National (Evicore) paying my ASC below market?
- Put your own CareCore National (Evicore) 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.