WeShare Health is the Official Health Sharing Partner of the Indiana Fever. Coming soon to Indianapolis. Get Early Access
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WeShare Health is the Official Health Sharing Partner of the Indiana Fever. Coming soon to Indianapolis. Get Early Access
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Extensive healthcare sharing
WeShare Premier program provides peace of mind and resources to proactively manage your whole health and wellness: mind, body, and spirit.
Robust Everyday Support
WeShare Enhanced offers a strong balance of affordability and robust healthcare sharing, with support for everyday care, specialists CVS MinuteClinic®, and Amwell® Telehealth.
Preventative and essential healthcare
WeShare Essential Program is a cost-effective option for people looking for sharing support for preventive care and major, unexpected illnesses and injuries.
Sharing after Medicare
WeShare Senior 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.
UHSM partners with Sleepwatchers to provide virtual-first sleep care, including consultations, at-home sleep studies, and sleep-related equipment and supplies. Referring providers may submit orders directly to Sleepwatchers using the appropriate referral form below. Members should be directed to contact UHSM Member Services for sharing benefit and program information.
Refer a patient to Sleepwatchers if they require:
Select and complete the appropriate form based on the patient’s clinical need:
Order for Home Sleep Test PDF
Use when ordering a diagnostic sleep study for a patient who has already been clinically evaluated.
Order for PAP DME PDF
Use for patients with an existing sleep apnea diagnosis who require CPAP/BiPAP equipment, replacement machines, or ongoing supplies. A current prescription is required.
Order for Sleep Services PDF
Use when a patient has sleep-related symptoms but has not yet been formally evaluated or requires further clinical assessment.
Submission Instructions: Completed referral forms should be sent directly to Sleepwatchers via Fax: 888-608-0343
Once received, Sleepwatchers will:
As part of our commitment to providers who service WeShare members, 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.
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, pre-certification is required for the following services when they
are eligible on the Member’s program:
To request and obtain preauthorization, please click here to complete the digital form. Please include all requested documentation.
Please note that WeShare has a standard turnaround time of five (7) business days on all prior pre-certification requests. If you require any help with the form, need status of your request, or are unable to determine if a procedure requires pre-certification please contact us at 888-275-6157.
Pre-certifications are for professional and institutional services only. All oral medication requests must go through members’ pharmacy benefits. By submitting this pre-certification, you are agreeing to work with WeShare on in-network pricing.
At WeShare, we aim to make medical billing simple and efficient for all UHSM providers. Once submitted, we promptly process your bills
according to the Member’s program benefits, leveraging your PHCS network rates. Here are some frequently asked questions and
answers regarding care within PHCS® PPO Network.
WeShare 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:
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.
Just like any other payer within the PHCS PPO Network, your medical service fees will be paid according to your contracted rate.
All WeShare 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 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.
Pre-certifications take up to 7 business days maximum.
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):
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.
At WeShare, we aim to make medical billing simple and efficient for all providers. Once you submit your bill to Medicare, they will send
WeShare the bill for sharing consideration of amounts left after Medicare. If you are not a Medicare provider, and instead participate with
PHCS, you may bill WeShare directly and we will process the bill according to the Member’s program benefits, leveraging your PHCS
network rates.
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 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 Senior members’ bills will
be automatically sent to WeShare 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 WeShare
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Electronic Submission:
PAYOR EDI#: WESHR
UHSM WeShare
P.O. Box 99
Orange CA 92856
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 Senior 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:
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.
Pre-certifications take up to 7 business days maximum.
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Norfolk, VA 23510
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