Medi-Share For Providers

The Medi-Share Provider Portal is temporarily unavailable as we undergo essential upgrades to enhance the provider and member experience.

  • Member Eligibility and Bill Status inquiries use:
    • EDI number 59355 or
    • 24/7 automated phone system at (800) 264-2562 and press 3 for providers
  • If pre-notification is required: visit Medi-Share Pre-Notification.
  • Please note that pre-notification does not guarantee sharing or eligibility.

Thank you for your patience as we work to bring you a better provider platform.

Medi-Share For Providers

The Medi-Share Provider Portal is temporarily unavailable as we undergo essential upgrades to enhance the provider and member experience.

  • Member Eligibility and Bill Status inquiries use:
    • EDI number 59355 or
    • 24/7 automated phone system at (800) 264-2562 and press 3 for providers
  • If pre-notification is required: visit Medi-Share Pre-Notification.
  • Please note that pre-notification does not guarantee sharing or eligibility.

Thank you for your patience as we work to bring you a better provider platform.

MSComplete

Bill Submission Process:

Electronic Options: EDI # 59355

  • Eligibility (270/271)
  • Bill Status (276)
  • Bill Submission (837)

For technical assistance with EDI transactions, please contact Change Healthcare at (800) 845-6592.

Mail Paper HCFAs or UBs to:
Medi-Share
PO Box 981652
El Paso, TX 79998-1652

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Pre-notification is required for the following :

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  • Inpatient hospitalizations
  • Non-emergency surgeries
  • Elective cardiac procedures
  • Cancer diagnosis or treatment (including medication)
  • Organ/tissue transplant services
  • Specialty medications (including infusions/injections given at home or in a doctor’s office) require pre-notification to Navitus at (833) 837-4306

Although pre-notification is not required for all procedures, it is requested. Pre-notification does not guarantee eligibility or sharing.