Fringe Benefit Group
Fringe Benefit Group is a payer organization operating in Texas. For an ASC, what matters isn't the logo. It's how Fringe Benefit Group 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 Group analysis
Tell us where to send it. Our team will prepare an analysis of Fringe Benefit Group 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 Group pays
See how Fringe Benefit Group 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
Fringe Benefit Group's presence spans Texas. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Fringe Benefit Group and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Fringe Benefit Group'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 Group 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 Group
- Payer ID
- 45289 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Fringe Benefit Group through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Fringe Benefit Group members are verified before the date of service, through a clearinghouse using payer ID 45289or 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 Group directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Fringe Benefit Group the way it pays.
- What is Fringe Benefit Group's payer ID?
- Fringe Benefit Group's electronic payer ID is 45289. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Fringe Benefit Group through a clearinghouse.
- How do ASCs verify eligibility for Fringe Benefit Group members?
- Eligibility and benefits for Fringe Benefit Group members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 45289) or through the payer's provider portal.
- Does Fringe Benefit Group require prior authorization for ASC procedures?
- Prior-authorization requirements for Fringe Benefit Group are set per plan and per procedure. Confirm whether an authorization is required with Fringe Benefit Group directly before the date of service.
- What type of payer is Fringe Benefit Group?
- Fringe Benefit Group is a payer organization operating in Texas.
- How does Fringe Benefit Group compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Fringe Benefit Group 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 Group paying my ASC below market?
- Put your own Fringe Benefit Group 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.