Martin's Point
Martin's Point is a payer organization operating in Maine and New Hampshire. For an ASC, what matters isn't the logo. It's how Martin's Point 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 Martin's Point analysis
Tell us where to send it. Our team will prepare an analysis of Martin's Point 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 Martin's Point pays
See how Martin's Point 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
Martin's Point's presence spans Maine and New Hampshire. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Martin's Point and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Martin's Point'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 Martin's Point up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Martin's Point
- Payer ID
- 53275 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Martin's Point through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Martin's Point members are verified before the date of service, through a clearinghouse using payer ID 53275or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Martin's Point directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Martin's Point the way it pays.
- What is Martin's Point's payer ID?
- Martin's Point's electronic payer ID is 53275. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Martin's Point through a clearinghouse.
- How do ASCs verify eligibility for Martin's Point members?
- Eligibility and benefits for Martin's Point members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 53275) or through the payer's provider portal.
- Does Martin's Point require prior authorization for ASC procedures?
- Prior-authorization requirements for Martin's Point are set per plan and per procedure. Confirm whether an authorization is required with Martin's Point directly before the date of service.
- What type of payer is Martin's Point?
- Martin's Point is a payer organization operating in Maine and New Hampshire.
- How does Martin's Point compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Martin's Point pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Martin's Point paying my ASC below market?
- Put your own Martin's Point 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.