CountyCare
CountyCare is a payer organization operating in Illinois. For an ASC, what matters isn't the logo. It's how CountyCare 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 CountyCare analysis
Tell us where to send it. Our team will prepare an analysis of CountyCare 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 CountyCare pays
See how CountyCare 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
CountyCare's presence spans Illinois. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for CountyCare and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive CountyCare'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 CountyCare up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with CountyCare
- Payer ID
- 06541 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to CountyCare through a clearinghouse.
- Eligibility verification
- Coverage and benefits for CountyCare members are verified before the date of service, through a clearinghouse using payer ID 06541or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with CountyCare directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of CountyCare the way it pays.
- What is CountyCare's payer ID?
- CountyCare's electronic payer ID is 06541. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to CountyCare through a clearinghouse.
- How do ASCs verify eligibility for CountyCare members?
- Eligibility and benefits for CountyCare members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 06541) or through the payer's provider portal.
- Does CountyCare require prior authorization for ASC procedures?
- Prior-authorization requirements for CountyCare are set per plan and per procedure. Confirm whether an authorization is required with CountyCare directly before the date of service.
- What type of payer is CountyCare?
- CountyCare is a payer organization operating in Illinois.
- How does CountyCare compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where CountyCare pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is CountyCare paying my ASC below market?
- Put your own CountyCare 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.