Village Medical
Village Medical is a payer organization. For an ASC, what matters isn't the logo. It's how Village Medical 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 Village Medical analysis
Tell us where to send it. Our team will prepare an analysis of Village Medical 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 Village Medical pays
See how Village Medical 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 Village Medical concentrates and how its presence shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Village Medical and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Village Medical'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 Village Medical up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Village Medical
- Payer ID
- MCA11 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Village Medical through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Village Medical members are verified before the date of service, through a clearinghouse using payer ID MCA11or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Village Medical directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Village Medical the way it pays.
- What is Village Medical's payer ID?
- Village Medical's electronic payer ID is MCA11. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Village Medical through a clearinghouse.
- How do ASCs verify eligibility for Village Medical members?
- Eligibility and benefits for Village Medical members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID MCA11) or through the payer's provider portal.
- Does Village Medical require prior authorization for ASC procedures?
- Prior-authorization requirements for Village Medical are set per plan and per procedure. Confirm whether an authorization is required with Village Medical directly before the date of service.
- What type of payer is Village Medical?
- Village Medical is a payer organization.
- How does Village Medical compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Village Medical pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Village Medical paying my ASC below market?
- Put your own Village Medical 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.