Direct Care Administrators
Direct Care Administrators is a third-party administrator (TPA) operating in Utah. For an ASC, what matters isn't the logo. It's how Direct Care 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 Direct Care Administrators analysis
Tell us where to send it. Our team will prepare an analysis of Direct Care 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 Direct Care Administrators pays
See how Direct Care 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
Direct Care Administrators's presence spans Utah. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Direct Care Administrators and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Direct Care 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 Direct Care 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 Direct Care Administrators
- Payer ID
- DCA62 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Direct Care Administrators through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Direct Care Administrators members are verified before the date of service, through a clearinghouse using payer ID DCA62or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Direct Care Administrators directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Direct Care Administrators the way it pays.
- What is Direct Care Administrators's payer ID?
- Direct Care Administrators's electronic payer ID is DCA62. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Direct Care Administrators through a clearinghouse.
- How do ASCs verify eligibility for Direct Care Administrators members?
- Eligibility and benefits for Direct Care Administrators members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID DCA62) or through the payer's provider portal.
- Does Direct Care Administrators require prior authorization for ASC procedures?
- Prior-authorization requirements for Direct Care Administrators are set per plan and per procedure. Confirm whether an authorization is required with Direct Care Administrators directly before the date of service.
- What type of payer is Direct Care Administrators?
- Direct Care Administrators is a third-party administrator (TPA) operating in Utah.
- How does Direct Care Administrators compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Direct Care 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 Direct Care Administrators paying my ASC below market?
- Put your own Direct Care 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.