Centrix Benefit Administrators
Centrix Benefit Administrators is a third-party administrator (TPA). For an ASC, what matters isn't the logo. It's how Centrix Benefit Administrators 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 Centrix Benefit Administrators analysis
Tell us where to send it. Our team will prepare an analysis of Centrix Benefit Administrators 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 Centrix Benefit Administrators pays
See how Centrix Benefit Administrators 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
See where Centrix Benefit Administrators concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Centrix Benefit Administrators and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Centrix Benefit Administrators'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 Centrix Benefit Administrators up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Centrix Benefit Administrators
- Payer ID
- 57117 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Centrix Benefit Administrators through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Centrix Benefit Administrators members are verified before the date of service, through a clearinghouse using payer ID 57117or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Centrix Benefit Administrators directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Centrix Benefit Administrators the way it pays.
- What is Centrix Benefit Administrators's payer ID?
- Centrix Benefit Administrators's electronic payer ID is 57117. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Centrix Benefit Administrators through a clearinghouse.
- How do ASCs verify eligibility for Centrix Benefit Administrators members?
- Eligibility and benefits for Centrix Benefit Administrators members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 57117) or through the payer's provider portal.
- Does Centrix Benefit Administrators require prior authorization for ASC procedures?
- Prior-authorization requirements for Centrix Benefit Administrators are set per plan and per procedure. Confirm whether an authorization is required with Centrix Benefit Administrators directly before the date of service.
- What type of payer is Centrix Benefit Administrators?
- Centrix Benefit Administrators is a third-party administrator (TPA).
- How does Centrix Benefit Administrators compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Centrix Benefit Administrators pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Centrix Benefit Administrators paying my ASC below market?
- Put your own Centrix Benefit Administrators 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.