Check Repricing Status Online
MedCost is the first step in processing your claim. We receive most claims electronically and reprice them according to your contracted fee schedule before forwarding to the appropriate payer, usually within two business days.
To check the status of a claim, click here to log in. If you are a participating medical provider or a Payer/Claim Administrator using the MedCost Network and wish to request a Login account, please click here.
The following claim repricing tools can only be accessed with a MedCost Login Account:
Claims Repricing Inquiry
Inquire about individual claims* and repricing, link directly to the claim administrator for payment status, review unrepriced claims, and submit additional information for unrepriced claims without having to refile.
For a demo of the Claims Repricing Inquiry tool, please click here.
Provider Claim Activity Report (PCAR)
View claims* received from your practice/facility, verify the billed amount and repriced amount, obtain claim administrator name and contact information for payment status, and review unrepriced claims. (Report is downloadable in Excel or PDFformat.)
Helpful Hint: When searching for a claim on the PCAR, the date range should be based on the potential repriced date of the claim and NOT the date of service.
* Claims are available online the next business day following receipt.
Need help with problematic claims?
Please click here
to contact our Payer Service Team. Remember that any personal health information should be sent secure.
MedCost defines a claim as "problematic" when it meets both of the following criteria:
- It has been outstanding for more than 60 days from the MedCost repricing date (but is less than one year from the date of service).
- Your follow-up efforts to resolve the issue with the claim administrator have been unsuccessful.