Medicare Virginia Part B
Medicare Virginia Part B is a Medicare Advantage plan operating in Virginia. For an ASC, what matters isn't the logo. It's how Medicare Virginia 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 Virginia Part B analysis
Tell us where to send it. Our team will prepare an analysis of Medicare Virginia 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 Virginia Part B pays
See how Medicare Virginia 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 Virginia Part B's presence spans Virginia. 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 Virginia Part B and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Medicare Virginia 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 Virginia 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 Virginia Part B
- Payer ID
- 11302 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Medicare Virginia Part B through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Medicare Virginia Part B members are verified before the date of service, through a clearinghouse using payer ID 11302or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Medicare Virginia Part B directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Medicare Virginia Part B the way it pays.
- What is Medicare Virginia Part B's payer ID?
- Medicare Virginia Part B's electronic payer ID is 11302. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Medicare Virginia Part B through a clearinghouse.
- How do ASCs verify eligibility for Medicare Virginia Part B members?
- Eligibility and benefits for Medicare Virginia Part B members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 11302) or through the payer's provider portal.
- Does Medicare Virginia Part B require prior authorization for ASC procedures?
- Prior-authorization requirements for Medicare Virginia Part B are set per plan and per procedure. Confirm whether an authorization is required with Medicare Virginia Part B directly before the date of service.
- What type of payer is Medicare Virginia Part B?
- Medicare Virginia Part B is a Medicare Advantage plan operating in Virginia.
- How does Medicare Virginia Part B compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Medicare Virginia 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 Virginia Part B paying my ASC below market?
- Put your own Medicare Virginia 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.