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MedCost Virginia
MedCost Virginia
Since acquiring Virginia Health Network (VHN), MedCost has worked to leverage our collective strengths as the MedCost Virginia Network. We believe there is significant growth opportunity in the Virginia market, and we will continue to partner to become stronger together and better together.
Find a Doctor or Facility
Use the provider search to find a doctor or facility in the MedCost Virginia Network.
Providers
We’ve collected all the tools you need to do business right here.
Claims Filing Tips
To ensure efficient processing of your claims, please adhere to the following guidelines:
Electronic Claims Submission: For MedCost Virginia electronic claims submissions, download the MedCost Virginia EDI Claims Submission Report or Payor List Matrix for your area (password protected).
Verify Payer ID: Always double-check the member’s ID card to ensure you are using the correct payer information.
Required Information: Include the employer group name, group number, and member ID on all claims submissions. Claims lacking this information will be denied.
Provider of Service: All claims should include the provider of service name. Group names are not acceptable.
Assignment of Benefits: Indicate assignment on the claim (patient signature or “Signature on File”); group names are not acceptable.
Other Important Reminders:
Eligibility and Benefits: To verify eligibility, deductible, or coverage information, contact the payer on the back of the member’s ID card.
Patient Billing: MedCost members may only be billed for their applicable deductible, coinsurance, or co-pay amounts at the time of service.
Provider Demographic Updates: Notify MedCost immediately of any changes to your practice, including any changes in address, practice name, or telephone number.
News and Updates: Stay informed about important process changes and announcements by reading all news blasts from MedCost.
Latest News
View All Provider News »Reminder: Verify Your Information for the MedCost Provider Directory
Mon, September 29, 2025
HPI Announces Acquisition of MedCost, Expanding Market Reach and Enhancing Network Capabilities in the Southeast
Thu, July 24, 2025
Important Credentialing Reminders for MedCost Virginia Network Providers
Thu, May 1, 2025
Need help or have questions?
Virginia providers, if you have questions or need password assistance, email us at [email protected].