Medicaid Florida
Medicaid Florida is a Medicaid managed-care plan operating in Florida. For an ASC, what matters isn't the logo. It's how Medicaid Florida 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 Medicaid Florida analysis
Tell us where to send it. Our team will prepare an analysis of Medicaid Florida 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 Medicaid Florida pays
See how Medicaid Florida 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
Medicaid Florida's presence spans Florida. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Medicaid Florida and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Medicaid Florida'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 Medicaid Florida up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Medicaid Florida
- Payer ID
- 77027 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Medicaid Florida through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Medicaid Florida members are verified before the date of service, through a clearinghouse using payer ID 77027or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Medicaid Florida directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Medicaid Florida the way it pays.
- What is Medicaid Florida's payer ID?
- Medicaid Florida's electronic payer ID is 77027. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Medicaid Florida through a clearinghouse.
- How do ASCs verify eligibility for Medicaid Florida members?
- Eligibility and benefits for Medicaid Florida members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 77027) or through the payer's provider portal.
- Does Medicaid Florida require prior authorization for ASC procedures?
- Prior-authorization requirements for Medicaid Florida are set per plan and per procedure. Confirm whether an authorization is required with Medicaid Florida directly before the date of service.
- What type of payer is Medicaid Florida?
- Medicaid Florida is a Medicaid managed-care plan operating in Florida.
- How does Medicaid Florida compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Medicaid Florida pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Medicaid Florida paying my ASC below market?
- Put your own Medicaid Florida 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.