Medicare Connecticut Part B
Medicare Connecticut Part B is a Medicare Advantage plan operating in Connecticut. For an ASC, what matters isn't the logo. It's how Medicare Connecticut Part B 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 Medicare Connecticut Part B analysis
Tell us where to send it. Our team will prepare an analysis of Medicare Connecticut Part B 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 Medicare Connecticut Part B pays
See how Medicare Connecticut Part B 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
Medicare Connecticut Part B's presence spans Connecticut. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Medicare Connecticut Part B and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Medicare Connecticut Part B'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 Medicare Connecticut Part B up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Medicare Connecticut Part B
- Payer ID
- 13102 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Medicare Connecticut Part B through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Medicare Connecticut Part B members are verified before the date of service, through a clearinghouse using payer ID 13102or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Medicare Connecticut Part B directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Medicare Connecticut Part B the way it pays.
- What is Medicare Connecticut Part B's payer ID?
- Medicare Connecticut Part B's electronic payer ID is 13102. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Medicare Connecticut Part B through a clearinghouse.
- How do ASCs verify eligibility for Medicare Connecticut Part B members?
- Eligibility and benefits for Medicare Connecticut Part B members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 13102) or through the payer's provider portal.
- Does Medicare Connecticut Part B require prior authorization for ASC procedures?
- Prior-authorization requirements for Medicare Connecticut Part B are set per plan and per procedure. Confirm whether an authorization is required with Medicare Connecticut Part B directly before the date of service.
- What type of payer is Medicare Connecticut Part B?
- Medicare Connecticut Part B is a Medicare Advantage plan operating in Connecticut.
- How does Medicare Connecticut Part B compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Medicare Connecticut Part B pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Medicare Connecticut Part B paying my ASC below market?
- Put your own Medicare Connecticut Part B 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.