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How Reimbursement Works

Reimbursement

Liberty HealthShare℠ is a health cost sharing organization (501(c)3), that facilitates the sharing of health care expenses between our members. We have members in your community who are currently looking for Providers that will participate with Liberty HealthShare℠.

When a Liberty HealthShare℠ member becomes your patient:

  • Liberty HealthShare℠ does not utilize a network, therefore members may use the provider of their choice
  • No referral required
  • Limited Pre-notification
  • Physician is reimbursed Medicare allowable plus 50% for prevailing area where service is rendered
  • Inpatient related services are reimbursed at Medicare allowable plus 60% for prevailing area where service is rendered
  • Outpatient related services are reimbursed at Medicare allowable plus 70% for prevailing area where service is rendered
  • Members are responsible for their Annual Unshared Amount (AUA) of $1,000 for a single member, $1,750 for a couple, and $2,250 for a family. Preventative screenings and Wellness are not subject to the Annual Unshared Amount. Reimbursement is limited to medical expenses which are shareable pursuant to the Sharing Guideline See Sharing Guidelines
  • Medical Bills may be submitted via HCFA 1500, UB04 form or electronically to:
    LHS/MCS
    Electronic Payer ID: 90753
    P.O. Box 36908
    Canton, OH 44735
  • Bills processed within 30 business days
  • No Timely filing limit
  • ID card will have all the pertinent information.


Resources

Sharing Guidelines (PDF)