CareSource Ohio Marketplace
CareSource Ohio Marketplace is a payer organization operating in Georgia and Ohio. For an ASC, what matters isn't the logo. It's how CareSource Ohio Marketplace 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 CareSource Ohio Marketplace analysis
Tell us where to send it. Our team will prepare an analysis of CareSource Ohio Marketplace 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 CareSource Ohio Marketplace pays
See how CareSource Ohio Marketplace 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
CareSource Ohio Marketplace's presence spans Georgia and Ohio. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for CareSource Ohio Marketplace and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive CareSource Ohio Marketplace'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 CareSource Ohio Marketplace up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with CareSource Ohio Marketplace
- Payer ID
- 31114 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to CareSource Ohio Marketplace through a clearinghouse.
- Eligibility verification
- Coverage and benefits for CareSource Ohio Marketplace members are verified before the date of service, through a clearinghouse using payer ID 31114or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with CareSource Ohio Marketplace directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of CareSource Ohio Marketplace the way it pays.
- What is CareSource Ohio Marketplace's payer ID?
- CareSource Ohio Marketplace's electronic payer ID is 31114. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to CareSource Ohio Marketplace through a clearinghouse.
- How do ASCs verify eligibility for CareSource Ohio Marketplace members?
- Eligibility and benefits for CareSource Ohio Marketplace members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 31114) or through the payer's provider portal.
- Does CareSource Ohio Marketplace require prior authorization for ASC procedures?
- Prior-authorization requirements for CareSource Ohio Marketplace are set per plan and per procedure. Confirm whether an authorization is required with CareSource Ohio Marketplace directly before the date of service.
- What type of payer is CareSource Ohio Marketplace?
- CareSource Ohio Marketplace is a payer organization operating in Georgia and Ohio.
- How does CareSource Ohio Marketplace compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where CareSource Ohio Marketplace pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is CareSource Ohio Marketplace paying my ASC below market?
- Put your own CareSource Ohio Marketplace 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.