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Our team is here to answer your questions.

Please answer the questions below, so we can direct your question to the right person.

If MedCost is listed as the claims payer on your health plan ID card, you can access information about your benefits by logging in to your member account 24/7. For questions about benefits, coverage, claim status, eligibility or provider participation, call our Customer Service Contact Center during regular business hours at 1-800-795-1023, message us through our Live Chat or complete the information below so that we can get in touch with you.

Member Contact Form

Question regarding

Benefits, Coverage or Claims Repricing

For Questions About Benefits, Coverage, Or Eligibility:
Contact the claim administrator at the phone number shown on the patient’s ID card. If you’re unable to determine the claim administrator for an employer group, call our Customer Service Contact Center at 1-800-824-7406 for assistance.
 

Add a Provider to Practice

If you are a participating practice in the MedCost Network and would like to add a new provider, please complete the form below. 

Main Contact

Practice/Facility Info

Street address
Street address
Mailing address
Mailing address

New provider information

Credentialing contact

Information Change

To ensure prompt and accurate claims processing and an accurate provider list for our patients and payers, we ask that you update your information regularly by completing the Provider Profile form to notify MedCost of any changes prior to the effective date of the change.

Main contact

Practice or facility information

Credentialing information

Tax ID change
Address change - Old address
Old address
Address change - New Address
New address
Name change
Phone change

Problematic Claims

MedCost defines a claim as "problematic" when it meets both of the following criteria:

  1. 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).
  2. Your follow-up efforts to resolve the issue with the claim administrator have been unsuccessful.

Request Credentialing

If you are a participating practice in the MedCost Network and would like to provide your CAQH ID to request credentialing, please complete the form below. 

Practice/facility information

Street address
Street Address
Mailing address
Mailing Address

Credentialing contact

Request Recredentialing

If you are a participating practice in the MedCost Network and would like to provide your CAQH ID to request credentialing, please complete the form below. 

Practice/Facility Information

Street address
Street Address
Mailing address container
Mailing address

Credentialing contact

Become a MedCost network provider

The MedCost Network is the largest independent provider network in NC, SC and VA. But we are not limited to the Carolinas and Virginia, we welcome providers from other parts of the Southeast as well as ancillary providers where our coverage extends nationally. Before a physician or facility is added to the MedCost Network, they must be credentialed and approved.

If you are a new practice interested in joining the MedCost Network, please complete the form below. MedCost will determine if there is a need for network providers of your specialty within your geographic region and will send a response within 15-20 business days. *required

Main Contact

Practice/Facility Info

Street address
Street address
Mailing address
Mailing address

Credentialing Contact

Provider General Contact

Tell us about your company.

Shouldn’t you achieve the Benefits Balance for your company? The customized benefits of MedCost allow you to balance medical care and benefits cost.

The more we know about your company, the more we can help develop a benefits plan tailored to your needs.

Working with a consultant

Benefits, Coverage or Claims

As a valued client of MedCost, we are here to help manage your self-funded employee health plan. With your online account you have 24/7 access to reporting, check register, access to submit enrollment updates, forms and HIPAA Certificates, member eligibility records, Flex account balances and payments, plan documentation and can contact and view messages from your account manager. If you have questions, call our Customer Service Contact Center during regular business hours at 1-800-795-1023, message us through our Live Chat or complete the information below so that we can get in touch with you.

Question regarding

Let MedCost conduct an assessment of your company’s current wellness state, make program recommendations and provide implementation guidance so that your program aligns with your company’s vision. Tell us about your company and we’ll contact you to set up an appointment.

General Contact

Question regarding

Partnering with MedCost

If you are interested in partnering with MedCost for PPO network or health management services, please send us your information below and we will be in touch.

Preferred method of contact*

Other

For general information, claims repricing, or provider participation status, please call the MedCost Customer Service Contact Center during regular business hours 1-800-824-7406 or send us your information and we will be in touch within 24 hours.

Preferred method of contact*

Our regular business hours are:
8:30 a.m. – 5:00 p.m. ET, Monday – Friday.

The office is closed on the following days:
New Years Day—January 1
Good Friday—March 30
Memorial Day—May 28
Independence Day—July 4
Labor Day—September 3
Thanksgiving—November 22-23
Christmas—December 24-25