Sedgwick
Sedgwick is a payer organization. For an ASC, what matters isn't the logo. It's how Sedgwick 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 Sedgwick analysis
Tell us where to send it. Our team will prepare an analysis of Sedgwick 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 Sedgwick pays
See how Sedgwick 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
See where Sedgwick concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Sedgwick and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Sedgwick'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 Sedgwick up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Sedgwick
- Payer ID
- WX867 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Sedgwick through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Sedgwick members are verified before the date of service, through a clearinghouse using payer ID WX867or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Sedgwick directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Sedgwick the way it pays.
- What is Sedgwick's payer ID?
- Sedgwick's electronic payer ID is WX867. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Sedgwick through a clearinghouse.
- How do ASCs verify eligibility for Sedgwick members?
- Eligibility and benefits for Sedgwick members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID WX867) or through the payer's provider portal.
- Does Sedgwick require prior authorization for ASC procedures?
- Prior-authorization requirements for Sedgwick are set per plan and per procedure. Confirm whether an authorization is required with Sedgwick directly before the date of service.
- What type of payer is Sedgwick?
- Sedgwick is a payer organization.
- How does Sedgwick compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Sedgwick pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Sedgwick paying my ASC below market?
- Put your own Sedgwick 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.