Choice Medical Group
Choice Medical Group is a payer organization operating in California. For an ASC, what matters isn't the logo. It's how Choice Medical Group 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 Choice Medical Group analysis
Tell us where to send it. Our team will prepare an analysis of Choice Medical Group 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 Choice Medical Group pays
See how Choice Medical Group 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
Choice Medical Group's presence spans California. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Choice Medical Group and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Choice Medical Group'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 Choice Medical Group up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Choice Medical Group
- Payer ID
- CMG01 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Choice Medical Group through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Choice Medical Group members are verified before the date of service, through a clearinghouse using payer ID CMG01or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Choice Medical Group directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Choice Medical Group the way it pays.
- What is Choice Medical Group's payer ID?
- Choice Medical Group's electronic payer ID is CMG01. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Choice Medical Group through a clearinghouse.
- How do ASCs verify eligibility for Choice Medical Group members?
- Eligibility and benefits for Choice Medical Group members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID CMG01) or through the payer's provider portal.
- Does Choice Medical Group require prior authorization for ASC procedures?
- Prior-authorization requirements for Choice Medical Group are set per plan and per procedure. Confirm whether an authorization is required with Choice Medical Group directly before the date of service.
- What type of payer is Choice Medical Group?
- Choice Medical Group is a payer organization operating in California.
- How does Choice Medical Group compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Choice Medical Group pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Choice Medical Group paying my ASC below market?
- Put your own Choice Medical Group 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.