iCare
iCare is a payer organization operating in Wisconsin. For an ASC, what matters isn't the logo. It's how iCare 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 iCare analysis
Tell us where to send it. Our team will prepare an analysis of iCare 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 iCare pays
See how iCare 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
iCare's presence spans Wisconsin. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for iCare and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive iCare'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 iCare up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with iCare
- Payer ID
- 11695 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to iCare through a clearinghouse.
- Eligibility verification
- Coverage and benefits for iCare members are verified before the date of service, through a clearinghouse using payer ID 11695or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with iCare directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of iCare the way it pays.
- What is iCare's payer ID?
- iCare's electronic payer ID is 11695. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to iCare through a clearinghouse.
- How do ASCs verify eligibility for iCare members?
- Eligibility and benefits for iCare members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 11695) or through the payer's provider portal.
- Does iCare require prior authorization for ASC procedures?
- Prior-authorization requirements for iCare are set per plan and per procedure. Confirm whether an authorization is required with iCare directly before the date of service.
- What type of payer is iCare?
- iCare is a payer organization operating in Wisconsin.
- How does iCare compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where iCare pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is iCare paying my ASC below market?
- Put your own iCare 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.