Selective
Selective is a payer organization. For an ASC, what matters isn't the logo. It's how Selective 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 Selective analysis
Tell us where to send it. Our team will prepare an analysis of Selective 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 Selective pays
See how Selective 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 Selective concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Selective and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Selective'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 Selective up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Selective
- Payer ID
- 12572 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Selective through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Selective members are verified before the date of service, through a clearinghouse using payer ID 12572or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Selective directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Selective the way it pays.
- What is Selective's payer ID?
- Selective's electronic payer ID is 12572. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Selective through a clearinghouse.
- How do ASCs verify eligibility for Selective members?
- Eligibility and benefits for Selective members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 12572) or through the payer's provider portal.
- Does Selective require prior authorization for ASC procedures?
- Prior-authorization requirements for Selective are set per plan and per procedure. Confirm whether an authorization is required with Selective directly before the date of service.
- What type of payer is Selective?
- Selective is a payer organization.
- How does Selective compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Selective pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Selective paying my ASC below market?
- Put your own Selective 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.