PACE of Southwest Michigan
PACE of Southwest Michigan is a payer organization operating in Michigan. For an ASC, what matters isn't the logo. It's how PACE of Southwest Michigan 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 of Southwest Michigan analysis
Tell us where to send it. Our team will prepare an analysis of PACE of Southwest Michigan 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 of Southwest Michigan pays
See how PACE of Southwest Michigan 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 of Southwest Michigan's presence spans Michigan. 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 of Southwest Michigan and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive PACE of Southwest Michigan'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 of Southwest Michigan 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 of Southwest Michigan
- Payer ID
- 45114 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to PACE of Southwest Michigan through a clearinghouse.
- Eligibility verification
- Coverage and benefits for PACE of Southwest Michigan members are verified before the date of service, through a clearinghouse using payer ID 45114or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with PACE of Southwest Michigan directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of PACE of Southwest Michigan the way it pays.
- What is PACE of Southwest Michigan's payer ID?
- PACE of Southwest Michigan's electronic payer ID is 45114. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to PACE of Southwest Michigan through a clearinghouse.
- How do ASCs verify eligibility for PACE of Southwest Michigan members?
- Eligibility and benefits for PACE of Southwest Michigan members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 45114) or through the payer's provider portal.
- Does PACE of Southwest Michigan require prior authorization for ASC procedures?
- Prior-authorization requirements for PACE of Southwest Michigan are set per plan and per procedure. Confirm whether an authorization is required with PACE of Southwest Michigan directly before the date of service.
- What type of payer is PACE of Southwest Michigan?
- PACE of Southwest Michigan is a payer organization operating in Michigan.
- How does PACE of Southwest Michigan compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where PACE of Southwest Michigan 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 of Southwest Michigan paying my ASC below market?
- Put your own PACE of Southwest Michigan 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.