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Helping MedCost Provide the Benefits Balance™

We appreciate your participation in our network. Thanks to you, members have access to the exceptional care they need in North Carolina, South Carolina and Virginia.

We’ve collected all the tools you need to do business right here.

Coverage and Claims
Benefits

Eligibility and Benefits

Details for eligibility and benefits information.

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Precertification

Precertification

Check to see if a procedure has precertification requirements.

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Claims Repricing

Claims Repricing

Make inquiries on the status of claim repricing.

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Provider Onboarding

Access the MedCost Provider Manual as well as helpful webinars.

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Fee Schedule and Allowables

Access the most current fee schedule.

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Newsletters and updates for our valued providers.

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Understanding credentialing requirements for network participation.

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Newsletters and updates for our valued providers.

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A list of our connected payer partners.

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Add a Provider to a Participating Practice

Access forms to add a provider to a participating practice.

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Are you in the MedCost Virginia provider network?

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