Neighborhood Healthcare PACE
Neighborhood Healthcare PACE is a payer organization operating in California. For an ASC, what matters isn't the logo. It's how Neighborhood Healthcare PACE 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 Neighborhood Healthcare PACE analysis
Tell us where to send it. Our team will prepare an analysis of Neighborhood Healthcare PACE 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 Neighborhood Healthcare PACE pays
See how Neighborhood Healthcare PACE 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
Neighborhood Healthcare PACE's presence spans California. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Neighborhood Healthcare PACE and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Neighborhood Healthcare PACE'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 Neighborhood Healthcare PACE up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Neighborhood Healthcare PACE
- Payer ID
- R3456 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Neighborhood Healthcare PACE through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Neighborhood Healthcare PACE members are verified before the date of service, through a clearinghouse using payer ID R3456or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Neighborhood Healthcare PACE directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Neighborhood Healthcare PACE the way it pays.
- What is Neighborhood Healthcare PACE's payer ID?
- Neighborhood Healthcare PACE's electronic payer ID is R3456. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Neighborhood Healthcare PACE through a clearinghouse.
- How do ASCs verify eligibility for Neighborhood Healthcare PACE members?
- Eligibility and benefits for Neighborhood Healthcare PACE members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID R3456) or through the payer's provider portal.
- Does Neighborhood Healthcare PACE require prior authorization for ASC procedures?
- Prior-authorization requirements for Neighborhood Healthcare PACE are set per plan and per procedure. Confirm whether an authorization is required with Neighborhood Healthcare PACE directly before the date of service.
- What type of payer is Neighborhood Healthcare PACE?
- Neighborhood Healthcare PACE is a payer organization operating in California.
- How does Neighborhood Healthcare PACE compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Neighborhood Healthcare PACE pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Neighborhood Healthcare PACE paying my ASC below market?
- Put your own Neighborhood Healthcare PACE 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.