PACE KC
PACE KC is a payer organization operating in Missouri. For an ASC, what matters isn't the logo. It's how PACE KC 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 KC analysis
Tell us where to send it. Our team will prepare an analysis of PACE KC 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 KC pays
See how PACE KC 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 KC's presence spans Missouri. 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 KC and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive PACE KC'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 KC 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 KC
- Payer ID
- R3462 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to PACE KC through a clearinghouse.
- Eligibility verification
- Coverage and benefits for PACE KC members are verified before the date of service, through a clearinghouse using payer ID R3462or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with PACE KC directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of PACE KC the way it pays.
- What is PACE KC's payer ID?
- PACE KC's electronic payer ID is R3462. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to PACE KC through a clearinghouse.
- How do ASCs verify eligibility for PACE KC members?
- Eligibility and benefits for PACE KC members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID R3462) or through the payer's provider portal.
- Does PACE KC require prior authorization for ASC procedures?
- Prior-authorization requirements for PACE KC are set per plan and per procedure. Confirm whether an authorization is required with PACE KC directly before the date of service.
- What type of payer is PACE KC?
- PACE KC is a payer organization operating in Missouri.
- How does PACE KC compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where PACE KC 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 KC paying my ASC below market?
- Put your own PACE KC 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.