For Providers
Welcome to REDEEM™ HealthShare!
We value the care you provide to our members and aim to make health care sharing straightforward for everyone involved. Here’s what you need to know:
If REDEEM HealthShare is not in your computer database, please add EDI Payer ID SM325 to your system.
More About REDEEM HealthShare
REDEEM HealthShare processes bills electronically, with payments typically made to the provider within 30-40 days of receiving the member's bill. Payments are made from Shares collected by the patient from the REDEEM™ member community.
Member Payments
- Members pay a Monthly Share Amount based on age, membership size, and selected Annual Unshareable Amount (AUA).
- Monthly Shares sent by the REDEEM community to the patient are used to pay the patient's medical bills.
- We recommend providers submit bills electronically through EDI using the Payer ID on the patient's member card for quick processing.
Payment Processing
- Most bills are processed within 30 days, with electronic payments sent to the provider, less any amounts the member will pay directly (AUA or Co-Share).
- The provider receives an Explanation of Sharing (EOS) detailing the amounts paid from Shares collected by the patient from the REDEEM member community.