MedCost
dentalmedicalvision
Summary
MedCost is a dental, medical, and vision payer. Claims route under payer ID 56205. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
56205- Also known as
- HPI, MedCost Benefit Services LLC, MedCost LLC, MedCost of North Carolina
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for MedCost?
- The payer ID for MedCost is 56205.
- Does MedCost require ERA enrollment?
- Yes. MedCost requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What types of coverage does MedCost offer?
- MedCost covers dental, medical, and vision.
- Can I submit claims to MedCost electronically?
- Yes. MedCost is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.