CDPHP
CDPHP is a payer organization operating in New York. For an ASC, what matters isn't the logo. It's how CDPHP 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 CDPHP analysis
Tell us where to send it. Our team will prepare an analysis of CDPHP 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 CDPHP pays
See how CDPHP 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
CDPHP'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 CDPHP and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive CDPHP'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 CDPHP up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with CDPHP
- Payer ID
- 141641028 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to CDPHP through a clearinghouse.
- Eligibility verification
- Coverage and benefits for CDPHP members are verified before the date of service, through a clearinghouse using payer ID 141641028or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with CDPHP directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of CDPHP the way it pays.
- What is CDPHP's payer ID?
- CDPHP's electronic payer ID is 141641028. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to CDPHP through a clearinghouse.
- How do ASCs verify eligibility for CDPHP members?
- Eligibility and benefits for CDPHP members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 141641028) or through the payer's provider portal.
- Does CDPHP require prior authorization for ASC procedures?
- Prior-authorization requirements for CDPHP are set per plan and per procedure. Confirm whether an authorization is required with CDPHP directly before the date of service.
- What type of payer is CDPHP?
- CDPHP is a payer organization operating in New York.
- How does CDPHP compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where CDPHP pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is CDPHP paying my ASC below market?
- Put your own CDPHP 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.