Celtic
Celtic is a payer organization operating in Delaware. For an ASC, what matters isn't the logo. It's how Celtic 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 Celtic analysis
Tell us where to send it. Our team will prepare an analysis of Celtic 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 Celtic pays
See how Celtic 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
Celtic's presence spans Delaware. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Celtic and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Celtic'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 Celtic up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Celtic
- Payer ID
- 68063 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Celtic through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Celtic members are verified before the date of service, through a clearinghouse using payer ID 68063or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Celtic directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Celtic the way it pays.
- What is Celtic's payer ID?
- Celtic's electronic payer ID is 68063. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Celtic through a clearinghouse.
- How do ASCs verify eligibility for Celtic members?
- Eligibility and benefits for Celtic members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 68063) or through the payer's provider portal.
- Does Celtic require prior authorization for ASC procedures?
- Prior-authorization requirements for Celtic are set per plan and per procedure. Confirm whether an authorization is required with Celtic directly before the date of service.
- What type of payer is Celtic?
- Celtic is a payer organization operating in Delaware.
- How does Celtic compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Celtic pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Celtic paying my ASC below market?
- Put your own Celtic 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.