PACE Central New York
PACE Central New York is a payer organization operating in New York. For an ASC, what matters isn't the logo. It's how PACE Central New York 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 PACE Central New York analysis
Tell us where to send it. Our team will prepare an analysis of PACE Central New York 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 PACE Central New York pays
See how PACE Central New York 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
PACE Central New York's presence spans New York. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for PACE Central New York and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive PACE Central New York'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 PACE Central New York up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with PACE Central New York
- Payer ID
- 8258 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to PACE Central New York through a clearinghouse.
- Eligibility verification
- Coverage and benefits for PACE Central New York members are verified before the date of service, through a clearinghouse using payer ID 8258or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with PACE Central New York directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of PACE Central New York the way it pays.
- What is PACE Central New York's payer ID?
- PACE Central New York's electronic payer ID is 8258. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to PACE Central New York through a clearinghouse.
- How do ASCs verify eligibility for PACE Central New York members?
- Eligibility and benefits for PACE Central New York members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 8258) or through the payer's provider portal.
- Does PACE Central New York require prior authorization for ASC procedures?
- Prior-authorization requirements for PACE Central New York are set per plan and per procedure. Confirm whether an authorization is required with PACE Central New York directly before the date of service.
- What type of payer is PACE Central New York?
- PACE Central New York is a payer organization operating in New York.
- How does PACE Central New York compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where PACE Central New York pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is PACE Central New York paying my ASC below market?
- Put your own PACE Central New York 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.