Maryland Physicians Care
Maryland Physicians Care is a payer organization operating in Maryland. For an ASC, what matters isn't the logo. It's how Maryland Physicians Care 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 Maryland Physicians Care analysis
Tell us where to send it. Our team will prepare an analysis of Maryland Physicians Care 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 Maryland Physicians Care pays
See how Maryland Physicians Care 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
Maryland Physicians Care's presence spans Maryland. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Maryland Physicians Care and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Maryland Physicians Care'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 Maryland Physicians Care up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Maryland Physicians Care
- Payer ID
- 76498 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Maryland Physicians Care through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Maryland Physicians Care members are verified before the date of service, through a clearinghouse using payer ID 76498or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Maryland Physicians Care directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Maryland Physicians Care the way it pays.
- What is Maryland Physicians Care's payer ID?
- Maryland Physicians Care's electronic payer ID is 76498. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Maryland Physicians Care through a clearinghouse.
- How do ASCs verify eligibility for Maryland Physicians Care members?
- Eligibility and benefits for Maryland Physicians Care members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 76498) or through the payer's provider portal.
- Does Maryland Physicians Care require prior authorization for ASC procedures?
- Prior-authorization requirements for Maryland Physicians Care are set per plan and per procedure. Confirm whether an authorization is required with Maryland Physicians Care directly before the date of service.
- What type of payer is Maryland Physicians Care?
- Maryland Physicians Care is a payer organization operating in Maryland.
- How does Maryland Physicians Care compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Maryland Physicians Care pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Maryland Physicians Care paying my ASC below market?
- Put your own Maryland Physicians Care 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.