FirstCarolinaCare
FirstCarolinaCare is a payer organization operating in North Carolina. For an ASC, what matters isn't the logo. It's how FirstCarolinaCare 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 FirstCarolinaCare analysis
Tell us where to send it. Our team will prepare an analysis of FirstCarolinaCare 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 FirstCarolinaCare pays
See how FirstCarolinaCare 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
FirstCarolinaCare's presence spans North Carolina. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for FirstCarolinaCare and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive FirstCarolinaCare'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 FirstCarolinaCare up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with FirstCarolinaCare
- Payer ID
- FCC01 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to FirstCarolinaCare through a clearinghouse.
- Eligibility verification
- Coverage and benefits for FirstCarolinaCare members are verified before the date of service, through a clearinghouse using payer ID FCC01or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with FirstCarolinaCare directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of FirstCarolinaCare the way it pays.
- What is FirstCarolinaCare's payer ID?
- FirstCarolinaCare's electronic payer ID is FCC01. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to FirstCarolinaCare through a clearinghouse.
- How do ASCs verify eligibility for FirstCarolinaCare members?
- Eligibility and benefits for FirstCarolinaCare members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID FCC01) or through the payer's provider portal.
- Does FirstCarolinaCare require prior authorization for ASC procedures?
- Prior-authorization requirements for FirstCarolinaCare are set per plan and per procedure. Confirm whether an authorization is required with FirstCarolinaCare directly before the date of service.
- What type of payer is FirstCarolinaCare?
- FirstCarolinaCare is a payer organization operating in North Carolina.
- How does FirstCarolinaCare compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where FirstCarolinaCare pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is FirstCarolinaCare paying my ASC below market?
- Put your own FirstCarolinaCare 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.