Looking For a Doctor or Facility?

Find a Doctor

Scheduled Maintenance

MedCost will perform general system maintenance beginning 7 a.m. Saturday, April 12, through 12 p.m. ET on Sunday, April 13. During this maintenance window, phone calls/voicemail, 270/271 transaction requests/responses, faxes, and data feeds/secure file transfers may be unavailable. While our secure online portals remain available, users may experience intermittent interruptions. 

MedCost
Employers

Why MedCost

Self-Funding Benefits Who We Serve Network Care Approach Controlling Costs Outcome Stories Compliance

Benefit Plans

Self-Funded Level Funding Pharmacy Dental & Vision

Resources

News Blog Wellness Telehealth Compliance Resources MyCarePath

Employer Account

Forms Activity & Reports Member Enrollment Log In
Health Systems & Hospitals
Brokers & Consultants

This website is designed for members whose benefits are administered by MedCost Benefit Services.

Get Started
Members

Benefits

Benefits & Coverage Deductibles & Balances Pharmacy Benefits Flex Spending Benefits

Claims

Claim Activity Forms Flex/HRA

Care

Find a Doctor Using Your Plan Maternity Health & Wellness How To Articles

Member Account

Mobile App ID Cards Account Authorization

This website is designed for members whose benefits are administered by MedCost Benefit Services.

Log In
Register
Payers
Claims Repricing
Claims Repricing »
Forms
Forms
Log In
Register
Providers

Coverage & Claims

Precertification
For MedCost Administered Plans
Eligibility & Benefits Claims Payment & Reimbursement
For All Plans
Claims Submission & Repricing Reference Guide Payer Partners

Education & Training

Provider Onboarding Provider News Fee Schedule & Allowables

Provider Account

Log In Or Register Electronic Payments Recredentialing Credentialing
MedCost Virginia
MedCost Virginia Provider Resources

Forms & Documents

Join Our Network Add Provider To Existing Practice Update Your Demographic Information
Log In
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.

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.

View Page
Precertification

Precertification

Check to see if a procedure has precertification requirements.

View Page
Claims Repricing

Claims Repricing

Make inquiries on the status of claim repricing.

View Page
All Pages
Education and Training
Provider Onboarding

Provider Onboarding

Access the MedCost Provider Manual as well as helpful webinars.

View Page
Fee Schedule and Allowables

Fee Schedule and Allowables

Access the most current fee schedule.

View Page
Provider News

Provider News

Newsletters and updates for our valued providers.

View Page
All Pages
Join the Network
Credentialing

Credentialing

Understanding credentialing requirements for network participation.

View Page
Apply

Apply to Join

Apply to be a part of our network.

View Page
Coverage and Claims
provider account

MedCost Virginia Provider Account

EDI Claims Submission Report or Payor List Matrix

Log In
Education and Training
Provider News

Provider News

Newsletters and updates for our valued providers.

View Page
Payer Partners

Payer Partners

A list of our connected payer partners.

View Page
Forms & Documents
Apply

Apply to Join

Apply to be a part of our network.

View Page
Add a Provider to a Participating Practice

Add a Provider to a Participating Practice

Access forms to add a provider to a participating practice.

View Page
Update

Update Info

Need to update your information?

View Page

Are you in the MedCost Virginia provider network?

Find the resources you need here.