Medcost Info On Tracing Claims

Information about MedCost Claims Tracing

MedCost and CNC require the use of this fax tracer form when tracing MedCost claims. CNC will gladly trace your MedCost claims for you.  Please complete the following form and fax it to CNC.   Be sure to fill in your name (Provider’s name), phone and fax prior to sending to CNC.  Because MeCost is not a payor, it takes a bit longer to trace claims filed with MedCost.  CNC will fax you a reply in 5-10 business days.

PLEASE REMEMBER: DO NOT FAX THIS FORM TO MEDCOST!

As a reminder, CNC contracts require that you wait 60 days from your billing date prior to tracing outstanding claims. If a fax tracer form is received with claims dates of service less than 60 days old, we will have to return the form to you to be resubmitted at the appropriate time.

MedCost does not trace claims over one year old. Claims over one year old must be traced directly with the claims payor.

Thank you for your cooperation in this important matter!

MEDCOST- A word on “Hospital Only” participation

If a patient presents a card with the MedCost logo to your office that says “Hospital Only”, this patient does not use MedCost for provider claims (only for hospital admissions). Send claims for these members directly to the claims payer (i.e., Mutual Group, Guardian, Unicare, etc.). DO NOT send hospital only claims to CNC or MedCost. (Helpful hint: if you can’t find a company in the Physician Reference Guide, double check the card to see if it says “hospital only”. Companies using MedCost only for hospital admissions do not appear in the reference guide.)