PACE Southeast Michigan
PACE Southeast Michigan is a payer organization operating in Michigan. For an ASC, what matters isn't the logo. It's how PACE Southeast 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 Southeast Michigan analysis
Tell us where to send it. Our team will prepare an analysis of PACE Southeast 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 Southeast Michigan pays
See how PACE Southeast 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 Southeast 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 Southeast Michigan and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive PACE Southeast 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 Southeast 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 Southeast Michigan
- Payer ID
- R3460 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to PACE Southeast Michigan through a clearinghouse.
- Eligibility verification
- Coverage and benefits for PACE Southeast Michigan members are verified before the date of service, through a clearinghouse using payer ID R3460or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with PACE Southeast Michigan directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of PACE Southeast Michigan the way it pays.
- What is PACE Southeast Michigan's payer ID?
- PACE Southeast Michigan's electronic payer ID is R3460. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to PACE Southeast Michigan through a clearinghouse.
- How do ASCs verify eligibility for PACE Southeast Michigan members?
- Eligibility and benefits for PACE Southeast Michigan members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID R3460) or through the payer's provider portal.
- Does PACE Southeast Michigan require prior authorization for ASC procedures?
- Prior-authorization requirements for PACE Southeast Michigan are set per plan and per procedure. Confirm whether an authorization is required with PACE Southeast Michigan directly before the date of service.
- What type of payer is PACE Southeast Michigan?
- PACE Southeast Michigan is a payer organization operating in Michigan.
- How does PACE Southeast Michigan compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where PACE Southeast 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 Southeast Michigan paying my ASC below market?
- Put your own PACE Southeast 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.