Point C
Point C is a payer organization operating in Missouri. For an ASC, what matters isn't the logo. It's how Point C 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 Point C analysis
Tell us where to send it. Our team will prepare an analysis of Point C 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 Point C pays
See how Point C 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
Point C'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 Point C and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Point C'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 Point C up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Point C
- Payer ID
- 88058 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Point C through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Point C members are verified before the date of service, through a clearinghouse using payer ID 88058or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Point C directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Point C the way it pays.
- What is Point C's payer ID?
- Point C's electronic payer ID is 88058. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Point C through a clearinghouse.
- How do ASCs verify eligibility for Point C members?
- Eligibility and benefits for Point C members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 88058) or through the payer's provider portal.
- Does Point C require prior authorization for ASC procedures?
- Prior-authorization requirements for Point C are set per plan and per procedure. Confirm whether an authorization is required with Point C directly before the date of service.
- What type of payer is Point C?
- Point C is a payer organization operating in Missouri.
- How does Point C compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Point C pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Point C paying my ASC below market?
- Put your own Point C 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.