Here you will find the tools to help you manage your practice’s claims, reimbursement and patients. It’s helpful to know that to health care professionals, MedCost is an administrator of plans and the payer, but MedCost is also a provider network product. MedCost extends its provider network product to plan sponsors through established relationships with payer partners including administrators and carriers. Please consult the member ID card to determine the appropriate payer.
Check patient eligibility and see patient co-pay, deductible and coinsurance amounts in one of two ways:
The payer handles all claims payments. Manage your practice’s receipt of payments in one of two ways:
A health care provider resource that includes a complete listing of employers accessing the MedCost provider network, their group number, effective and termination dates, as well as their payer and precertification vendor. Eligibility and benefits information is not available within the Reference Guide.
MedCost has established relationships with more than 70 payer partners that lease our provider network. Most of these payer partners offer online claim status or eligibility. To identify the payer, you will need to consult the member ID card. View payer partners or the Reference Guide which includes a full list of payers leasing MedCost’s network.