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COVID-19 Updates
Go to our COVID-19 resource webpage for up-to-date information.
Certain claims information is temporarily unavailable. We are working to resolve the issue as quickly as possible and apologize for any inconvenience.
Credentialing
Credentialing for Virginia Health Network Providers ONLY
The credentialing information on this page does not pertain to our VHN providers. VHN has been acquired by MedCost and is currently being integrated into a single MedCost network. The staff in the Richmond office has become an integral part of our MedCost team and remains committed to servicing your needs.
For credentialing, please contact our Richmond office at: (800) 989-3837.
Or visit the VHN homepage for links to your online account and the tools you are using currently.
Requirements for Network Participation
Providers must be credentialed and approved before they can be added to the MedCost Network. They also must follow an approval process for recredentialing every three (3) years to remain in the network.
Convenient Credentialing through CAQH
To eliminate the need for practitioners to submit multiple credentialing applications, MedCost participates in the Council for Affordable Quality Healthcare (CAQH). Their Universal Provider Datasource® (UPD) enables a practitioner to submit a single standard application that is designed to meet the needs of all organizations involved in the (re)credentialing process. In an effort to make the process more uniform and to ease your administrative burden, CAQH will help with the collection of your credentialing information.
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If you are registered with CAQH, supply MedCost with your CAQH ID. You will also need to log into the UPD database and add MedCost as one of the health plans authorized to access your information. This will allow MedCost to obtain your current credentialing information from the UPD database.
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If you are not registered with CAQH, please register and add MedCost as one of the health plans authorized to access your information. Once you receive notification from CAQH that your application is complete, supply MedCost with your CAQH ID.
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If you require a paper copy please contact the CAQH Help Desk at 888-599-1771 and request a CAQH application be sent by mail. A fax number for completed applications is provided on the application.
Questions?
If you have any questions, please call our Customer Service Contact Center at 1-800-824-7406.
