Fringe Benefit Coordinators
Fringe Benefit Coordinators is a payer organization. For an ASC, what matters isn't the logo. It's how Fringe Benefit Coordinators 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 Fringe Benefit Coordinators analysis
Tell us where to send it. Our team will prepare an analysis of Fringe Benefit Coordinators 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 Fringe Benefit Coordinators pays
See how Fringe Benefit Coordinators 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
See where Fringe Benefit Coordinators concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Fringe Benefit Coordinators and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Fringe Benefit Coordinators'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 Fringe Benefit Coordinators up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Fringe Benefit Coordinators
- Payer ID
- 59204 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Fringe Benefit Coordinators through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Fringe Benefit Coordinators members are verified before the date of service, through a clearinghouse using payer ID 59204or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Fringe Benefit Coordinators directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Fringe Benefit Coordinators the way it pays.
- What is Fringe Benefit Coordinators's payer ID?
- Fringe Benefit Coordinators's electronic payer ID is 59204. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Fringe Benefit Coordinators through a clearinghouse.
- How do ASCs verify eligibility for Fringe Benefit Coordinators members?
- Eligibility and benefits for Fringe Benefit Coordinators members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 59204) or through the payer's provider portal.
- Does Fringe Benefit Coordinators require prior authorization for ASC procedures?
- Prior-authorization requirements for Fringe Benefit Coordinators are set per plan and per procedure. Confirm whether an authorization is required with Fringe Benefit Coordinators directly before the date of service.
- What type of payer is Fringe Benefit Coordinators?
- Fringe Benefit Coordinators is a payer organization.
- How does Fringe Benefit Coordinators compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Fringe Benefit Coordinators pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Fringe Benefit Coordinators paying my ASC below market?
- Put your own Fringe Benefit Coordinators 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.