Community Family Care
Community Family Care is a payer organization operating in California. For an ASC, what matters isn't the logo. It's how Community Family Care 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 Family Care analysis
Tell us where to send it. Our team will prepare an analysis of Community Family Care 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 Family Care pays
See how Community Family Care 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 Family Care'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 Community Family Care and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Community Family Care'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 Family Care 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 Family Care
- Payer ID
- NMM05 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Community Family Care through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Community Family Care members are verified before the date of service, through a clearinghouse using payer ID NMM05or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Community Family Care directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Community Family Care the way it pays.
- What is Community Family Care's payer ID?
- Community Family Care's electronic payer ID is NMM05. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Community Family Care through a clearinghouse.
- How do ASCs verify eligibility for Community Family Care members?
- Eligibility and benefits for Community Family Care members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID NMM05) or through the payer's provider portal.
- Does Community Family Care require prior authorization for ASC procedures?
- Prior-authorization requirements for Community Family Care are set per plan and per procedure. Confirm whether an authorization is required with Community Family Care directly before the date of service.
- What type of payer is Community Family Care?
- Community Family Care is a payer organization operating in California.
- How does Community Family Care compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Community Family Care 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 Family Care paying my ASC below market?
- Put your own Community Family Care 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.