San Diego PACE
San Diego PACE is a payer organization operating in California. For an ASC, what matters isn't the logo. It's how San Diego PACE 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 San Diego PACE analysis
Tell us where to send it. Our team will prepare an analysis of San Diego PACE 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 San Diego PACE pays
See how San Diego PACE 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
San Diego PACE's presence spans California. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for San Diego PACE and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive San Diego PACE'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 San Diego PACE up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with San Diego PACE
- Payer ID
- 96400 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to San Diego PACE through a clearinghouse.
- Eligibility verification
- Coverage and benefits for San Diego PACE members are verified before the date of service, through a clearinghouse using payer ID 96400or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with San Diego PACE directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of San Diego PACE the way it pays.
- What is San Diego PACE's payer ID?
- San Diego PACE's electronic payer ID is 96400. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to San Diego PACE through a clearinghouse.
- How do ASCs verify eligibility for San Diego PACE members?
- Eligibility and benefits for San Diego PACE members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 96400) or through the payer's provider portal.
- Does San Diego PACE require prior authorization for ASC procedures?
- Prior-authorization requirements for San Diego PACE are set per plan and per procedure. Confirm whether an authorization is required with San Diego PACE directly before the date of service.
- What type of payer is San Diego PACE?
- San Diego PACE is a payer organization operating in California.
- How does San Diego PACE compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where San Diego PACE pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is San Diego PACE paying my ASC below market?
- Put your own San Diego PACE 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.