MID-LEVEL PROVIDER FILING
Services rendered by a Physician Assistant (PA) or Nurse Practitioner (NP) should be identifiable on a claim and filed under the supervising MD’s name and assigned NPI. The supervising MD must be a participating provider in the MedCost Network.
You may submit a request to credential your Physician Assistant(s) or Nurse Practitioner(s) through the provider portal of our web site at www.medcost.com. Once a PA or NP is credentialed, claims can be filed under their names.
Claims should be submitted to MedCost for repricing, but please check the member’s ID card to determine where claims should be sent for processing. Sending claims to the wrong location will only delay adjudication and payment turnaround.
NEW PROVIDER SEARCH FUNCTION - PROVIDER ROSTER REPORT
MedCost is pleased to introduce the Provider Roster Report. This latest tool is available to anyone who has a secure login to our website and allows you to search for effective and termed providers for your entity. (Note: The report will not give status on providers that are currently in process.)
You can access the report by logging in to the Provider portal on www.medcost.com and following the steps below. Please ensure you run the report in Internet Explorer for optimal performance; it will not work correctly using other browsers.
1. Select Web Applications
2. Select Provider Roster Report
3. Select Practice/Facility for which you wish to run report
4. Choose either active, termed, or all providers (full roster)
5. Submit (It will take a few minutes.)
The report will be in Excel format with the following column headings:
- MedCost Relationship ID
- Provider Name
- Provider NPI#
- Practice Name
- Tax ID
- Effective Date
- Termination Date
LIFETIME BENEFIT SOLUTIONS ELECTRONIC PAYMENT UPDATE
Lifetime Benefit Solutions is introducing a new electronic payment (ePayment) process which will be implemented with Zelis® Payments over the next few months. This alliance offers the latest in secure ePayment technology to add speed and efficiency to the claims payment process. Click here for more information.
OPPORTUNITIES FOR LEARNING ABOUT MEDCOST
Be on the lookout for on-demand provider training in the upcoming months.
Feedback From Our Provider Community
MedCost strives for excellence within our organization. If you have any feedback to share, please click here or use the Give Feedback button below. We welcome the opportunity to learn from your suggestions and make any improvements that will allow us to better serve you.