Provider Help

Select your WeShare® Program

To get started on finding provider resources, click the correct program from the list below.

Comprehensive Program

WeShare®

Extensive healthcare and wellness

WeShare® Program provides peace of mind and resources to proactively manage your whole health and wellness: mind, body, and spirit.

Catastrophic Program

WeShare Access™

Preventative and essential healthcare 

WeShare Access™ Program is a cost-effective option for people looking for sharing support for preventive care and major, unexpected illnesses and injuries.

Supplemental Sharing Program

WeShare Legacy™​

Medicare Supplemental Sharing 

WeShare Legacy™ provides peace of mind with added support to fill the gaps that Medicare coverage can have, reducing your potential out-of-pocket costs for care.

Provider Help: Preferred Provider Organization Questions

WeShare® by UHSM is a Christian health sharing program — an affordable, faith-based alternative to traditional health insurance.

As part of our commitment to UHSM providers, we work closely with the PHCS® PPO Network to ensure a simple, efficient, and reliable billing experience. Our goal is to be the most trusted healthcare sharing program available, while supporting providers with streamlined processes and responsive service.

How to Obtain Healthcare Sharing Preauthorization

We strive to help our members understand their program benefits and make educated decisions avoiding surprise bills after care is obtained. To achieve this goal, we require preauthorization for all medical services, except wellness and preventative, immunizations, urgent care, emergencies, Amwell and CVS MinuteClinic services. 

To request and obtain preauthorization, please  click here to complete the digital form. Please include all requested documentation.  

Please note that WeShare® by UHSM has a standard turnaround time of five (7) business days on all prior authorization requests. If you require any help with the form, need status of your request, or are unable to determine if a procedure requires pre-authorization please contact us at 888-275-6157.   

Prior Authorizations are for professional and institutional services only. All oral medication requests must go through members’ pharmacy benefits. By submitting this prior authorization, you are agreeing to work with WeShare® by UHSM on in-network pricing. 

Preferred UHSM Providers FAQs

At WeShare® by UHSM, we aim to make medical billing simple and efficient for all UHSM providers. Our members will have preset, per-visit consult fees that operate similarly to your insurance patients’ co-pay. We promptly process your remaining network-contracted fees. Here are some frequently asked questions and answers regarding care within PHCS® PPO Network. 

WeShare® by UHSM currently uses Claimsnet for the clearinghouse and is in the system as “UHSM – Unite Health Share Ministries™” with NAIC# 07689, claim type HCFA.  While all the trading partners have been notified, many won’t set up the payer ID until a provider requests it. To request UHSM setup, as the provider all you have to do is: 

  1. Open a customer service ticket at your clearinghouse — Request the setup of payer ID , with routing to SSI Claimsnet.
  2. Send that service ticket number along with the clearinghouse name to Claimsnet helpdesk to complete the integration [email protected].    

You will need to be contracted with our preferred network PHCS PPO. Please click here to join PHCS. WeShare® ensures that UHSM providers have a seamless billing experience and prompt payment processing, making your job easier.

Electronic Submission :
PAYOR EDI #07689

Mail paper HCFAs or UBs to:  

UHSM WeShare 
P.O. Box 247 
Alpharetta, GA 30009

Just like any other payer within the PHCS PPO Network, your medical service fees will be paid according to your contracted rate.   

All WeShare® by UHSM programs include benefits in which members pay you (the provider) a consult fee per office visit, unless the appointment is a routine annual physical or preventive care, in which case the per visit fee to members is $0.   

If you are wondering how much to charge a WeShare® by UHSM member for a particular visit please reference the front of the PHCS Weshare member ID card or the specific Program Details. The per visit consult fee each WeShare® member pays varies per program, but operates similarly to co-pay by aligning with the type of medical consult: primary doctor, specialist, urgent care and emergency room visits. If you have additional questions please contact us.  

For any questions about the eligibility of medical services, please submit a preauthorization form here or contact us at 888-275-6157

Preauths take up to 7 business days maximum.

Provider Help: WeShare Legacy – Medicare Supplemental Sharing

WeShare Legacy by UHSM is a supplemental health share, providing Medicare beneficiaries with an affordable alternative to traditional Medigap programs.

Our goal is to be the best healthcare sharing program on the planet and to bring our provider community an efficient, streamlined experience every time.

How to Obtain Healthcare Sharing Pre-Certification

We strive to help our Members understand their supplemental program benefits and make educated decisions, avoiding surprise bills after care is obtained. To achieve this goal, we require pre-certification for continued inpatient services once Medicare benefits have been exhausted and for certain services if the member is stepping outside of the Medicare network (using the PHCS PPO network) for eligible specialist services. Pre-certification is not needed if you are a Medicare registered provider, and the member is leveraging their Medicare benefits as primary.

Pre-certification is required for the following services rendered by a PHCS PPO provider (not Medicare registered):

  • Diagnostic colonoscopies, endoscopies and laparoscopic procedures
  • Trigger point or pain management injections, infusion therapy, drugs >$1,500 and biologic drugs
  • Chemotherapy or radiation
  • Physical/occupational/speech therapy
  • Imaging such as MRI, CT, PET scans, EBCT (Electron Beam Tomography)
  • Outpatient surgeries (not performed in an office)
  • Certain surgeries, regardless of the place of service: Arthroscopy or joint surgery, Bladder repair, Cardiac Cath/
  • Angioplasty, Deviated septum/nasal surgery, Laminectomy/spinal surgery, Implants, Transplants (except corneal), Mammoplasty, Blepharoplasty, Varicose Veins stripping and ligation
  • Tobacco related illnesses

Pre-certification is also required for the following services if the member’s Medicare benefit limit has been reached: inpatient services and skilled nursing facilities

To request pre-certification, please contact us at 1-800-900-8476.

Please note that WeShare by UHSM has a standard turnaround time of seven (7) business days on all pre-certification requests. If you require any help understanding what requires pre-certification, submitting a request or with status of a submitted request, please contact us.

WeShare Legacy FAQs

At WeShare® by UHSM, we aim to make medical billing simple and efficient for all UHSM providers. Our Members will have preset, per-visit consult fees that operate similarly to your insurance patients’ co-pay. We promptly process your remaining network-contracted fees. Here
are some frequently asked questions and answers regarding care within PHCS® PPO Network. 

WeShare by UHSM currently uses Optum for the clearinghouse and is in the system as UHSM with NAIC# UHSM1, claim type HCFA. To request UHSM setup as the provider, open a customer service ticket at your clearinghouse requesting the setup of payer ID UHSM1, with routing to Optum.

You will need to either be registered with Medicare or if a Medicare registered provider is not available within 30 miles of the member’s home, contracted with our preferred network, PHCS PPO. Please click here to join PHCS. WeShare by UHSM is committed to processing all medical bills promptly and efficiently, and to making your job as a provider as seamless as possible so you can spend more time with your patients.

If you are a Medicare registered provider, submit your bill to Medicare as you normally would. WeShare Legacy members’ bills will be automatically sent to UHSM for consideration as secondary (through the BCRC trading partner crossover process). 

If you are not registered with Medicare and participate with the PHCS PPO network, you should submit the bill directly to UHSM – 

Electronic Submission:
PAYOR EDI # UHSM1 

UHSM WeShare 

P.O. Box 247
Alpharetta, GA 30009 

For Medicare registered providers, medical services will be priced according to the Medicare fee schedule and allowances (e.g. 115% of Medicare fee schedule for unassigned providers). For PHCS PPO Network providers, medical services will be priced at your contracted rate. 

WeShare Legacy members have added support to fill the gaps that Medicare coverage can leave, greatly reducing their potential out-of-pocket costs for medical care. It offers sharing support working alongside Medicare for: 

  • Bills where Medicare applies member liability (co-pay, co-insurance, or deductible) 
  • Eligible medical services not standardly covered by Medicare (e.g. preventive annual physicals, Acupuncture or Chiropractic care) 
  • Services where Medicare limits have been exhausted, and WeShare Legacy’s sharing limit is higher 
  • Services for professional providers who are not registered with Medicare (when the type of specialist provider needed is not available in the Medicare network within 30 miles of the member’s home) 

Eligible services are shared at 100% after the member’s Annual Member Care Share amount is met (AMCS, similar to a deductible), except preventive services which are not subject to the AMCS. The member’s AMCS is listed on their ID card. 

Preauths take up to 7 business days maximum.

Contact us

Main Office

Dominion Tower
999 Waterside, Suite 2600
Norfolk, VA 23510

Hours of Operation

Monday – Friday
10am – 8pm E.T.

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