All payers

Health Community Care Plan

Health Community Care Plan is a payer organization operating in Florida. For an ASC, what matters isn't the logo. It's how Health Community Care Plan 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 Health Community Care Plan analysis

Tell us where to send it. Our team will prepare an analysis of Health Community Care Plan 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.

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What Insights reveals

  • How Health Community Care Plan pays

    See how Health Community Care Plan 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

    Health Community Care Plan's presence spans Florida. See where it concentrates and how that shapes the markets you compete in.

  • Peer position

    Put your own position next to the benchmark for Health Community Care Plan and bring the gap to your next contract conversation.

  • Specialty mix

    Understand which procedures and specialties drive Health Community Care Plan'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 Health Community Care Plan up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.

Reference

Working with Health Community Care Plan

Payer ID
22HLT is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Health Community Care Plan through a clearinghouse.
Eligibility verification
Coverage and benefits for Health Community Care Plan members are verified before the date of service, through a clearinghouse using payer ID 22HLTor through the payer's provider portal.
Prior authorization
Requirements are set per plan and per procedure. Confirm whether an authorization is required with Health Community Care Plan directly before the date of service.

Book a demo: pick a time

A 15-minute walkthrough of Health Community Care Plan the way it pays.

Operates in
What is Health Community Care Plan's payer ID?
Health Community Care Plan's electronic payer ID is 22HLT. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Health Community Care Plan through a clearinghouse.
How do ASCs verify eligibility for Health Community Care Plan members?
Eligibility and benefits for Health Community Care Plan members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 22HLT) or through the payer's provider portal.
Does Health Community Care Plan require prior authorization for ASC procedures?
Prior-authorization requirements for Health Community Care Plan are set per plan and per procedure. Confirm whether an authorization is required with Health Community Care Plan directly before the date of service.
What type of payer is Health Community Care Plan?
Health Community Care Plan is a payer organization operating in Florida.
How does Health Community Care Plan compare with other payers for ASC procedures?
Ask Rose and you get a plain-language read on where Health Community Care Plan pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
Is Health Community Care Plan paying my ASC below market?
Put your own Health Community Care Plan 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.
The pilot

A pilot that proves itself in days.

A product goes live and the results show up before the questions do.

  • NDA signed before we start
  • HIPAA-grade Business Associate Agreement (BAA) in place
  • Scoped to one high-impact workflow at a time
Ready to move forward?

Here’s what getting started looks like.

Setup time
< 1 day
Integration
No integration (Phase 1 pilot)
Contract
Month-to-month
HIPAA compliant · BAA included