MedCost Benefit Services

Summary

MedCost Benefit Services is a dental, medical, and vision payer operating in North Carolina. Claims route under payer ID 56162, with 8 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

56162Also seen as 10272, 1880, 42561, 6474, 9113, EDMWE and 2 more

Also known as

HPI, MedCost Benefit Services LLC, MedCost LLC, MedCost VA, MedCost Virginia

Service area

NC

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for MedCost Benefit Services?

The payer ID for MedCost Benefit Services is 56162. Alternate IDs seen across clearinghouses include 10272, 1880, 42561, 6474.

Does MedCost Benefit Services require ERA enrollment?

Yes. MedCost Benefit Services requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does MedCost Benefit Services cover?

MedCost Benefit Services operates in NC. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does MedCost Benefit Services offer?

MedCost Benefit Services covers dental, medical, and vision.

Can I submit claims to MedCost Benefit Services electronically?

Yes. MedCost Benefit Services is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).