Catholic Health System PACE
Catholic Health System PACE is a regional health plan operating in New York. For an ASC, what matters isn't the logo. It's how Catholic Health System PACE 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 Catholic Health System PACE analysis
Tell us where to send it. Our team will prepare an analysis of Catholic Health System PACE 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 Catholic Health System PACE pays
See how Catholic Health System PACE 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
Catholic Health System PACE's presence spans New York. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Catholic Health System PACE and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Catholic Health System PACE'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 Catholic Health System PACE up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Catholic Health System PACE
- Payer ID
- R3486 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Catholic Health System PACE through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Catholic Health System PACE members are verified before the date of service, through a clearinghouse using payer ID R3486or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Catholic Health System PACE directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Catholic Health System PACE the way it pays.
- What is Catholic Health System PACE's payer ID?
- Catholic Health System PACE's electronic payer ID is R3486. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Catholic Health System PACE through a clearinghouse.
- How do ASCs verify eligibility for Catholic Health System PACE members?
- Eligibility and benefits for Catholic Health System PACE members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID R3486) or through the payer's provider portal.
- Does Catholic Health System PACE require prior authorization for ASC procedures?
- Prior-authorization requirements for Catholic Health System PACE are set per plan and per procedure. Confirm whether an authorization is required with Catholic Health System PACE directly before the date of service.
- What type of payer is Catholic Health System PACE?
- Catholic Health System PACE is a regional health plan operating in New York.
- How does Catholic Health System PACE compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Catholic Health System PACE pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Catholic Health System PACE paying my ASC below market?
- Put your own Catholic Health System PACE 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.