Provider Portal | Liberty HealthShare

Provider Portal Information

Bill Status

DOS
- Date Of Service
Created Date
- The date we received the medical expense
Processed Date
- The date we processed the medical expense
Charged Amount
- The total amount billed

Member Eligibility

Expiration Date
- The day the member is no longer effective.
AUA
- Annual Unshared Amount.
The amount of medical expense eligible for sharing must exceed an annual accumulative amount for each single, couple or family membership. Such annual amount shall be calculated upon each member’s Enrollment Date until their next annual renewal date. All eligible medical expenses that exceed the applicable Annual Unshared Amount shall then be subject to the program limits per incident selected by the member.
Wellness

After the first two months of membership, an annual preventative wellness visit and related lab work for which there are no medical symptoms or diagnosis in advance are eligible for sharing, up to a maximum of $400 of the fair and reasonable charges as determined by Liberty HealthShare and not subject to the AUA.
- a. Well baby visits including immunizations are eligible for sharing within the first 13 months after birth and not subject to the AUA or the two-month waiting period.
- b. Any new condition based on symptoms discussed during your preventative wellness visit and any additional diagnostics or labs that are ordered to determine treatment are shareable according to LHS guidelines and are subject to the AUA.
- c. Liberty Select Program Exception: Wellness visit, related lab work and preventative screenings are eligible for sharing up to a maximum of $400 per membership year and not subject to the AUA.
Screenings

a. The following preventative screenings are not subject to the AUA:

i. Screening pap smears are eligible for sharing once every year.

ii. Screening mammograms, PSA tests, and Cologard® are eligible for sharing once every two years up to and including age forty-nine (49).

iii. Screening mammograms, PSA tests, and Cologard® are eligible for sharing once every year for members fifty (50) years of age and older.

b. The following screenings are eligible for sharing and are subject to the AUA:

i. Screening colonoscopies and bone density screenings

ii. Ultrasound/MRI/Thermogram screening conducted in lieu of a screening mammogram

iii. All diagnostic screenings

c. Liberty Select Program Exception: Preventative screenings are eligible for sharing and included in the $400 maximum per membership year for wellness visit, related lab work and screenings and not subject to the AUA.
Sharing Program
- Liberty Complete: $1,000,000 shareable per incident after annual unshared amount
- Liberty Plus: $125,000 shareable per incident after annual unshared amount
- Liberty Share: 70% of eligible medical bills, up to $125,000 shareable per incident after annual unshared amount
- Liberty Select: $500,000 shareable per incident after Annual Unshared Amount (AUA)
- Liberty Unite: $1,000,000 shareable per incident after Annual Unshared Amount
- Liberty Connect: 85% of eligible medical bills, up to $1,000,000 shareable per incident after Annual Unshared Amount
- Liberty Essential: 75% of eligible medical bills, up to $600,000 shareable per incident after Annual Unshared Amount

Wellness Visits and Screenings

Wellness

After the first two months of membership, an annual preventative wellness visit and related lab work for which there are no medical symptoms or diagnosis in advance are eligible for sharing, up to a maximum of $400 of the fair and reasonable charges as determined by Liberty HealthShare and not subject to the AUA.
- a. Well baby visits including immunizations are eligible for sharing within the first 13 months after birth and not subject to the AUA or the two-month waiting period.
- b. Any new condition based on symptoms discussed during your preventative wellness visit and any additional diagnostics or labs that are ordered to determine treatment are shareable according to LHS guidelines and are subject to the AUA.
- c. Liberty Select Program Exception: Wellness visit, related lab work and preventative screenings are eligible for sharing up to a maximum of $400 per membership year and not subject to the AUA.
Screenings

a. The following preventative screenings are not subject to the AUA:

i. Screening pap smears are eligible for sharing once every year.

ii. Screening mammograms, PSA tests, and Cologard® are eligible for sharing once every two years up to and including age forty-nine (49).

iii. Screening mammograms, PSA tests, and Cologard® are eligible for sharing once every year for members fifty (50) years of age and older.

b. The following screenings are eligible for sharing and are subject to the AUA:

i. Screening colonoscopies and bone density screenings

ii. Ultrasound/MRI/Thermogram screening conducted in lieu of a screening mammogram

iii. All diagnostic screenings

c. Liberty Select Program Exception: Preventative screenings are eligible for sharing and included in the $400 maximum per membership year for wellness visit, related lab work and screenings and not subject to the AUA.