All payers

MultiCare Connected Care

MultiCare Connected Care is a payer organization operating in Washington. For an ASC, what matters isn't the logo. It's how MultiCare Connected 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 MultiCare Connected Care analysis

Tell us where to send it. Our team will prepare an analysis of MultiCare Connected 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.

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What Insights reveals

  • How MultiCare Connected Care pays

    See how MultiCare Connected 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

    MultiCare Connected Care's presence spans Washington. See where it concentrates and how that shapes the markets you compete in.

  • Peer position

    Put your own position next to the benchmark for MultiCare Connected Care and bring the gap to your next contract conversation.

  • Specialty mix

    Understand which procedures and specialties drive MultiCare Connected 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 MultiCare Connected 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 MultiCare Connected Care

Payer ID
RP036 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to MultiCare Connected Care through a clearinghouse.
Eligibility verification
Coverage and benefits for MultiCare Connected Care members are verified before the date of service, through a clearinghouse using payer ID RP036or through the payer's provider portal.
Prior authorization
Requirements are set per plan and per procedure. Confirm whether an authorization is required with MultiCare Connected Care directly before the date of service.

Book a demo: pick a time

A 15-minute walkthrough of MultiCare Connected Care the way it pays.

Operates in
What is MultiCare Connected Care's payer ID?
MultiCare Connected Care's electronic payer ID is RP036. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to MultiCare Connected Care through a clearinghouse.
How do ASCs verify eligibility for MultiCare Connected Care members?
Eligibility and benefits for MultiCare Connected Care members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID RP036) or through the payer's provider portal.
Does MultiCare Connected Care require prior authorization for ASC procedures?
Prior-authorization requirements for MultiCare Connected Care are set per plan and per procedure. Confirm whether an authorization is required with MultiCare Connected Care directly before the date of service.
What type of payer is MultiCare Connected Care?
MultiCare Connected Care is a payer organization operating in Washington.
How does MultiCare Connected Care compare with other payers for ASC procedures?
Ask Rose and you get a plain-language read on where MultiCare Connected 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 MultiCare Connected Care paying my ASC below market?
Put your own MultiCare Connected 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.
The pilot

A pilot that proves itself in days.

A product goes live and the results show up before the questions do.

  • NDA signed before we start
  • HIPAA-grade Business Associate Agreement (BAA) in place
  • Scoped to one high-impact workflow at a time
Ready to move forward?

Here’s what getting started looks like.

Setup time
< 1 day
Integration
No integration (Phase 1 pilot)
Contract
Month-to-month
HIPAA compliant · BAA included