Centivo
Centivo is a payer organization operating in New York. For an ASC, what matters isn't the logo. It's how Centivo 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 Centivo analysis
Tell us where to send it. Our team will prepare an analysis of Centivo 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 Centivo pays
See how Centivo 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
Centivo'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 Centivo and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Centivo'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 Centivo up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Centivo
- Payer ID
- 45564 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Centivo through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Centivo members are verified before the date of service, through a clearinghouse using payer ID 45564or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Centivo directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Centivo the way it pays.
- What is Centivo's payer ID?
- Centivo's electronic payer ID is 45564. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Centivo through a clearinghouse.
- How do ASCs verify eligibility for Centivo members?
- Eligibility and benefits for Centivo members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 45564) or through the payer's provider portal.
- Does Centivo require prior authorization for ASC procedures?
- Prior-authorization requirements for Centivo are set per plan and per procedure. Confirm whether an authorization is required with Centivo directly before the date of service.
- What type of payer is Centivo?
- Centivo is a payer organization operating in New York.
- How does Centivo compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Centivo pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Centivo paying my ASC below market?
- Put your own Centivo 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.