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 assigned for each single, couple or family membership. The annual amount shall be calculated upon each member’s Enrollment Activation Date until his or her next annual renewal date or program level change. All eligible medical expenses that exceed the applicable AUA shall then be subject to the program limits per incident selected by the member.
Wellness

Liberty HealthShare encourages our members to see their Primary Care Physician or provider yearly to maintain their health and well-being. 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 nor subject to guideline limitations for medical expenses $200 or less.
- 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 a preventative wellness visit and any additional diagnostics or labs that are ordered to determine treatment may be shareable according to Sharing Guidelines and are 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 Cologuard® are eligible for sharing once every two years up to and including age 49.

iii. Screening mammograms, PSA tests, and Cologuard® are eligible for sharing once every year for members 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

Sharing Program

Medical Expenses Eligible for sharing	Unshared Amount Per Visit	Maximum Sharing Limit
Primary Care Physicians	$25	$750/year
Specialist Physicians	$40	$750/year
Urgent Care	$50	$500/year
Hospital Stays*	-	$1250/day
In-/Outpatient Surgeon Fees*	-	$1250/day
Emergency Room	$500	$1000/year
CT Scans	$200	$1250/day
MRI Scans	$200	$1250/day

Wellness Visits and Screenings

Wellness

Liberty HealthShare encourages our members to see their Primary Care Physician or provider yearly to maintain their health and well-being. 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 nor subject to guideline limitations for medical expenses $200 or less.
- 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 a preventative wellness visit and any additional diagnostics or labs that are ordered to determine treatment may be shareable according to Sharing Guidelines and are 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 Cologuard® are eligible for sharing once every two years up to and including age 49.

iii. Screening mammograms, PSA tests, and Cologuard® are eligible for sharing once every year for members 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.