Kelly Benefits
Kelly Benefits is a third-party administrator (TPA). For an ASC, what matters isn't the logo. It's how Kelly Benefits 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 Kelly Benefits analysis
Tell us where to send it. Our team will prepare an analysis of Kelly Benefits 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 Kelly Benefits pays
See how Kelly Benefits 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 Kelly Benefits concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Kelly Benefits and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Kelly Benefits'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 Kelly Benefits up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Kelly Benefits
- Payer ID
- 23274 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Kelly Benefits through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Kelly Benefits members are verified before the date of service, through a clearinghouse using payer ID 23274or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Kelly Benefits directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Kelly Benefits the way it pays.
- What is Kelly Benefits's payer ID?
- Kelly Benefits's electronic payer ID is 23274. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Kelly Benefits through a clearinghouse.
- How do ASCs verify eligibility for Kelly Benefits members?
- Eligibility and benefits for Kelly Benefits members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 23274) or through the payer's provider portal.
- Does Kelly Benefits require prior authorization for ASC procedures?
- Prior-authorization requirements for Kelly Benefits are set per plan and per procedure. Confirm whether an authorization is required with Kelly Benefits directly before the date of service.
- What type of payer is Kelly Benefits?
- Kelly Benefits is a third-party administrator (TPA).
- How does Kelly Benefits compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Kelly Benefits pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Kelly Benefits paying my ASC below market?
- Put your own Kelly Benefits 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.