Healthchoice of Connecticut
Healthchoice of Connecticut is a payer organization operating in Connecticut. For an ASC, what matters isn't the logo. It's how Healthchoice of Connecticut 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 Healthchoice of Connecticut analysis
Tell us where to send it. Our team will prepare an analysis of Healthchoice of Connecticut 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 Healthchoice of Connecticut pays
See how Healthchoice of Connecticut 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
Healthchoice of Connecticut's presence spans Connecticut. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Healthchoice of Connecticut and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Healthchoice of Connecticut'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 Healthchoice of Connecticut up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Healthchoice of Connecticut
- Payer ID
- 95376 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Healthchoice of Connecticut through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Healthchoice of Connecticut members are verified before the date of service, through a clearinghouse using payer ID 95376or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Healthchoice of Connecticut directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Healthchoice of Connecticut the way it pays.
- What is Healthchoice of Connecticut's payer ID?
- Healthchoice of Connecticut's electronic payer ID is 95376. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Healthchoice of Connecticut through a clearinghouse.
- How do ASCs verify eligibility for Healthchoice of Connecticut members?
- Eligibility and benefits for Healthchoice of Connecticut members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 95376) or through the payer's provider portal.
- Does Healthchoice of Connecticut require prior authorization for ASC procedures?
- Prior-authorization requirements for Healthchoice of Connecticut are set per plan and per procedure. Confirm whether an authorization is required with Healthchoice of Connecticut directly before the date of service.
- What type of payer is Healthchoice of Connecticut?
- Healthchoice of Connecticut is a payer organization operating in Connecticut.
- How does Healthchoice of Connecticut compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Healthchoice of Connecticut pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Healthchoice of Connecticut paying my ASC below market?
- Put your own Healthchoice of Connecticut 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.