Community Care Plan
Community Care Plan is a payer organization operating in Florida. For an ASC, what matters isn't the logo. It's how Community Care Plan 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 Community Care Plan analysis
Tell us where to send it. Our team will prepare an analysis of Community Care Plan 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 Community Care Plan pays
See how Community Care Plan 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
Community Care Plan's presence spans Florida. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Community Care Plan and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Community Care Plan'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 Community Care Plan up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Community Care Plan
- Payer ID
- 59064 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Community Care Plan through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Community Care Plan members are verified before the date of service, through a clearinghouse using payer ID 59064or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Community Care Plan directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Community Care Plan the way it pays.
- What is Community Care Plan's payer ID?
- Community Care Plan's electronic payer ID is 59064. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Community Care Plan through a clearinghouse.
- How do ASCs verify eligibility for Community Care Plan members?
- Eligibility and benefits for Community Care Plan members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 59064) or through the payer's provider portal.
- Does Community Care Plan require prior authorization for ASC procedures?
- Prior-authorization requirements for Community Care Plan are set per plan and per procedure. Confirm whether an authorization is required with Community Care Plan directly before the date of service.
- What type of payer is Community Care Plan?
- Community Care Plan is a payer organization operating in Florida.
- How does Community Care Plan compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Community Care Plan pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Community Care Plan paying my ASC below market?
- Put your own Community Care Plan 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.