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Center Care (Meritain)

Center Care (Meritain) is a payer organization operating in Kentucky. For an ASC, what matters isn't the logo. It's how Center Care (Meritain) 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 Center Care (Meritain) analysis

Tell us where to send it. Our team will prepare an analysis of Center Care (Meritain) 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.

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What Insights reveals

  • How Center Care (Meritain) pays

    See how Center Care (Meritain) 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

    Center Care (Meritain)'s presence spans Kentucky. See where it concentrates and how that shapes the markets you compete in.

  • Peer position

    Put your own position next to the benchmark for Center Care (Meritain) and bring the gap to your next contract conversation.

  • Specialty mix

    Understand which procedures and specialties drive Center Care (Meritain)'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 Center Care (Meritain) up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.

Reference

Working with Center Care (Meritain)

Payer ID
13357 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Center Care (Meritain) through a clearinghouse.
Eligibility verification
Coverage and benefits for Center Care (Meritain) members are verified before the date of service, through a clearinghouse using payer ID 13357or through the payer's provider portal.
Prior authorization
Requirements are set per plan and per procedure. Confirm whether an authorization is required with Center Care (Meritain) directly before the date of service.

Book a demo: pick a time

A 15-minute walkthrough of Center Care (Meritain) the way it pays.

Operates in
What is Center Care (Meritain)'s payer ID?
Center Care (Meritain)'s electronic payer ID is 13357. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Center Care (Meritain) through a clearinghouse.
How do ASCs verify eligibility for Center Care (Meritain) members?
Eligibility and benefits for Center Care (Meritain) members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 13357) or through the payer's provider portal.
Does Center Care (Meritain) require prior authorization for ASC procedures?
Prior-authorization requirements for Center Care (Meritain) are set per plan and per procedure. Confirm whether an authorization is required with Center Care (Meritain) directly before the date of service.
What type of payer is Center Care (Meritain)?
Center Care (Meritain) is a payer organization operating in Kentucky.
How does Center Care (Meritain) compare with other payers for ASC procedures?
Ask Rose and you get a plain-language read on where Center Care (Meritain) pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
Is Center Care (Meritain) paying my ASC below market?
Put your own Center Care (Meritain) 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.
The pilot

A pilot that proves itself in days.

A product goes live and the results show up before the questions do.

  • NDA signed before we start
  • HIPAA-grade Business Associate Agreement (BAA) in place
  • Scoped to one high-impact workflow at a time
Ready to move forward?

Here’s what getting started looks like.

Setup time
< 1 day
Integration
No integration (Phase 1 pilot)
Contract
Month-to-month
HIPAA compliant · BAA included