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Our team is here to answer your questions.

Please answer the questions below, so we can direct your question to the right person.

If MedCost is listed as the claims payer on your health plan ID card, you can access information about your benefits by logging in to your member account 24/7. For questions about benefits, coverage, claim status, eligibility or provider participation, call our Customer Service Contact Center during regular business hours at 1-800-795-1023, message us through our Live Chat or complete the information below so that we can get in touch with you.

Member Contact Form

Question regarding

Benefits, Coverage or Claims Repricing

For Questions About Benefits, Coverage, Or Eligibility:
Contact the claim administrator at the phone number shown on the patient’s ID card. If you’re unable to determine the claim administrator for an employer group, call our Customer Service Contact Center at 1-800-824-7406 for assistance.
 

Add a Provider to a Participating Practice

If you are a participating practice in the MedCost Network and would like to add a new provider, please complete the form below.

Main Contact

Practice/Facility Info

Street address
List this address in provider directory
Mailing address
(enter one Tax ID per form submission)

New provider information

New provider degree*
New provider specialty*
Supervising MD
If the new provider is a mid-level provider (Nurse Practitioner, Physician Assistant), we require information about their Supervising MD to process the request. Without that information, the process will be delayed.

Credentialing contact

Credentialing contact address

Information Change

Federal law requires provider directory information to be reviewed and verified at least every 90 days. To ensure prompt and accurate claims processing and an accurate provider list for our patients and payers, we ask that you update your information regularly by completing this form to notify MedCost of any changes prior to the effective date of the change.

Practice or facility information

Credentialing information

Tax ID change
Address change - Old address
Address change - New Address
Name change
Phone change
Specialty Change
(Includes moving practice to telehealth)
Add to directory
Other changes

Problematic Claims

MedCost defines a claim as "problematic" when it meets both of the following criteria:

  1. It has been outstanding for more than 60 days from the MedCost repricing date (but is less than one year from the date of service).
  2. Your follow-up efforts to resolve the issue with the claim administrator have been unsuccessful.

Become a MedCost network provider

The MedCost Network is the largest independent provider network in NC, SC and VA, but we are not limited to the Carolinas and Virginia. We welcome providers from other parts of the Southeast, as well as ancillary providers where our coverage extends nationally. Before a physician or facility is added to the MedCost Network, they must be credentialed and approved.

If you are a new practice or facility interested in joining the MedCost Network, please complete the form below. MedCost will determine if there is a need within your geographic region and will respond to your request within 15-20 business days.

Main Contact

Practice/Facility Info

Street address
Mailing address

Credentialing Contact

Provider General Contact

Tell us about your company.

Shouldn’t you achieve the Benefits Balance for your company? The customized benefits of MedCost allow you to balance medical care and benefits cost.

The more we know about your company, the more we can help develop a benefits plan tailored to your needs.

Working with a consultant

Benefits, Coverage or Claims

As a valued client of MedCost, we are here to help manage your self-funded employee health plan. With your online account you have 24/7 access to reporting, check register, access to submit enrollment updates, forms and HIPAA Certificates, member eligibility records, Flex account balances and payments, plan documentation and can contact and view messages from your account manager. If you have questions, call our Customer Service Contact Center during regular business hours at 1-800-795-1023, message us through our Live Chat or complete the information below so that we can get in touch with you.

Question regarding

Let MedCost conduct an assessment of your company’s current wellness state, make program recommendations and provide implementation guidance so that your program aligns with your company’s vision. Tell us about your company and we’ll contact you to set up an appointment.

General Contact

Question regarding

Partnering with MedCost

If you are interested in partnering with MedCost for PPO network or health management services, please send us your information below and we will be in touch.

Preferred method of contact*

Other

For general information, claims repricing, or provider participation status, please call the MedCost Customer Service Contact Center during regular business hours 1-800-824-7406 or send us your information and we will be in touch within 24 hours.

Preferred method of contact*

Our customer service hours are:
8:00 a.m. – 5:30 p.m. ET, Monday – Friday.

The office is closed on the following days:
New Year's Day
Martin Luther King Jr. Day
Memorial Day
Independence Day
Labor Day
Thanksgiving Day and Thanksgiving Friday
Christmas Eve and Christmas Day

Note: Whenever a holiday falls on Saturday or Sunday, MedCost offices will observe it on the Friday prior or the Monday following, respectively.