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