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MedCost
Providers

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.

Update Your Demographic Information

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 to notify MedCost of any changes prior to the effective date of the change.

Coverage and Claims
Benefits

Eligibility and Benefits

Details for eligibility and benefits information.

Precertification

Precertification

Check to see if a procedure has precertification requirements.

Claims Repricing

Claims Repricing

Make inquiries on the status of claim repricing.

Education and Training
Provider Onboarding

Provider Onboarding

Access the MedCost Provider Manual as well as helpful webinars.

Fee Schedule and Allowables

Fee Schedule and Allowables

Access the most current fee schedule.

Provider News

Provider News

Newsletters and updates for our valued providers.

Join the Network
Credentialing

Credentialing

Understanding credentialing requirements for network participation.

Apply

Apply to Join

Apply to be a part of our network.