On Lok PACE
On Lok PACE is a payer organization operating in California. For an ASC, what matters isn't the logo. It's how On Lok 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 On Lok PACE analysis
Tell us where to send it. Our team will prepare an analysis of On Lok 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 On Lok PACE pays
See how On Lok 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
On Lok 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 On Lok PACE and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive On Lok 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 On Lok 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 On Lok PACE
- Payer ID
- 99485 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to On Lok PACE through a clearinghouse.
- Eligibility verification
- Coverage and benefits for On Lok PACE members are verified before the date of service, through a clearinghouse using payer ID 99485or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with On Lok PACE directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of On Lok PACE the way it pays.
- What is On Lok PACE's payer ID?
- On Lok PACE's electronic payer ID is 99485. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to On Lok PACE through a clearinghouse.
- How do ASCs verify eligibility for On Lok PACE members?
- Eligibility and benefits for On Lok PACE members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 99485) or through the payer's provider portal.
- Does On Lok PACE require prior authorization for ASC procedures?
- Prior-authorization requirements for On Lok PACE are set per plan and per procedure. Confirm whether an authorization is required with On Lok PACE directly before the date of service.
- What type of payer is On Lok PACE?
- On Lok PACE is a payer organization operating in California.
- How does On Lok PACE compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where On Lok 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 On Lok PACE paying my ASC below market?
- Put your own On Lok 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.