Medicare Illinois Part B
Medicare Illinois Part B is a Medicare Advantage plan operating in Illinois. For an ASC, what matters isn't the logo. It's how Medicare Illinois 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 Illinois Part B analysis
Tell us where to send it. Our team will prepare an analysis of Medicare Illinois 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 Illinois Part B pays
See how Medicare Illinois 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 Illinois Part B's presence spans Illinois. 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 Illinois Part B and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Medicare Illinois 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 Illinois 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 Illinois Part B
- Payer ID
- 06102 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Medicare Illinois Part B through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Medicare Illinois Part B members are verified before the date of service, through a clearinghouse using payer ID 06102or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Medicare Illinois Part B directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Medicare Illinois Part B the way it pays.
- What is Medicare Illinois Part B's payer ID?
- Medicare Illinois Part B's electronic payer ID is 06102. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Medicare Illinois Part B through a clearinghouse.
- How do ASCs verify eligibility for Medicare Illinois Part B members?
- Eligibility and benefits for Medicare Illinois Part B members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 06102) or through the payer's provider portal.
- Does Medicare Illinois Part B require prior authorization for ASC procedures?
- Prior-authorization requirements for Medicare Illinois Part B are set per plan and per procedure. Confirm whether an authorization is required with Medicare Illinois Part B directly before the date of service.
- What type of payer is Medicare Illinois Part B?
- Medicare Illinois Part B is a Medicare Advantage plan operating in Illinois.
- How does Medicare Illinois Part B compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Medicare Illinois 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 Illinois Part B paying my ASC below market?
- Put your own Medicare Illinois 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.