We work hard to make billing fast and predictable.

At WeShare, we aim to make medical billing simple and efficient for all providers. Once submitted, we promptly process eligible bills according to the member's program benefits, leveraging your PHCS network rates.

A patient tapping a payment card on a card reader at a reception desk

Getting started with WeShare

Find what you need to submit medical bills, request pre-certification, or request sleep studies. Any questions, call us at 800-900-8476, option 2.

Billing, made simple.

Submit medical bills.

Submit electronically, or by mail to UHSM WeShare, P.O. Box 99, Orange, CA 92856.

PAYER EDI #

WESHR

WESHARE SENIOR EDI #

UHSM1

Can't find the payer ID?

WeShare uses Optum, Master Biller ID: 396668 - Unite Health Share Ministries.

Optum ConnectCenter

Pre-certification services

Some services need pre-certification before care, so members aren't surprised by a bill afterward. Submit the digital form and required documentation through MedWatch, and we'll respond within 7 business days.

Services that require pre-certification:

WeShare Essential, Enhanced, and Premier

Inpatient hospitalizations (incl. maternity), 23-hr observations, skilled nursing facilities

Surgeries not performed in the doctor's office

Certain surgeries, regardless of the place of service: biopsies (when checking for or to rule out cancer), 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

Diagnostic endoscopic, laparoscopic, and colonoscopy procedures

Imaging such as EBCT (Electron Beam Tomography), CT scan, MRI, and PET scans

Chemotherapy and radiation*

Trigger point or pain management injections, infusion therapy, biologic drugs, ablations, stimulators, nerve blocks and any drugs >$1,500 a dose

Physical, Occupational, and Speech Therapy (Essential not eligible)

Durable Medical Equipment >$2,500

Home Health Care (Essential not eligible)

Dialysis (Enhanced and Essential not eligible)

Behavioral health (intensive outpatient program, residential treatment centers, partial hospitalization program)* (Enhanced and Essential not eligible)

Hospice (Enhanced and Essential not eligible)

Tobacco related illnesses

WeShare Senior

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, and Speech Therapy

Imaging such as EBCT (Electron Beam Tomography), CT scan, MRI, and PET scans

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

Inpatient services & skilled nursing once the Medicare benefit limit is reached

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

Ready to submit a pre-certification?

Submit through MedWatch and we'll respond within 7 business days.

Start a pre-certification

For sleep services

Connect your patients with Sleepwatchers.

We partner with Sleepwatchers for virtual-first sleep care, including consultations, at-home sleep studies, and equipment. Refer a patient when they need a sleep study, an evaluation for suspected sleep apnea, CPAP or BiPAP equipment or supplies, or help coordinating treatment. Send completed forms to Sleepwatchers by fax at 888-608-0343.

A person asleep in bed wearing an eye mask

Sleep Study
Order Form

For home sleep testing orders and patient setup information.

Download

CPAP / BiPAP Equipment & Supplies Order Form

For equipment and supplies orders and documented need.

Download

Sleepwatchers Clinical Consultation Referral Form

Refer patients for clinical consultation and ongoing sleep support.

Download

Common provider questions

Frequently asked questions about care within the PHCS® PPO Network.

I can't find the UHSM payer ID in our clearinghouse system. What do I do?

WeShare uses Optum, Master Biller ID: 396668 - Unite Health Share Ministries.

Do I need to be contracted with WeShare Health to see patients?

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

Where do I submit HCFA or UB forms?

Electronic submission:

PAYER EDI#: WESHR

Mail paper HCFAs or UBs to:

UHSM WeShare

P.O. Box 99

Orange, CA 92856

What do I charge for a visit?

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 pre-certification form here or contact us at 888-275-6157.

How long does it take to get a Pre-Certification returned?

Pre-certifications take up to 7 business days maximum.

Common provider questions for WeShare Senior

I am not Medicare registered but participate with the PHCS PPO network. I need to bill UHSM directly, but I am not finding the payer ID in our clearinghouse system.

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.

Where do I submit HCFA or UB forms?

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.

Electronic Submission:

PAYER EDI#: WESHR

UHSM WeShare

P.O. Box 99

Orange CA 92856

Do I need to be contracted with PHCS to see patients?

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.

What medical services are eligible under this program? What do I charge for a visit?

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:

  • 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 Senior’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.

Still need help? We're here.

Call us

800-900-8476,
option 2

Hours

Mon–Fri / 9am–8pm ET