Payer Forms | MedCost

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MedCost offices will be closed on Monday, September 7, in observance of Labor Day. Regular hours will resume on Tuesday, September 8.

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Here are the forms you need to assist you in completing administrative tasks quickly and efficiently.

If you have questions, please call our Customer Service Contact Center at 1-800-824-7406.

Add/Revise Client Form

Employer Group Termination Form

EOB Requirements Checklist Form

ID Requirements Checklist Form