Monday, May 6, 2024, 2:22 AM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions
WEB TOOL: SUBMIT A CLAIM
Is there a limit to the number of claims in a Web Tool batch?There is not a limit to the number of claims in a batch. |
Under the Web Tool's status option, can I check the status of a claim I submit hard copy?Yes, it doesn’t matter the submission method. |
What is the payment cycle?The payment cycle is: Wed-Mon, payments are processed on Tuesday, and payment is received as early as Friday. |
What is the Web Tool’s Non-Contractual box?The Non-Contractual box is to be selected/entered when the provider is not contracted with the beneficiary’s third party payer. |
When a claim is in a denied status, can you do an adjustment?You must wait for the rejection, and then do a correction. An adjustment can only be made to a paid claim. |
When would you use a void?You would use a void if you bill for something by mistake; accidental claim submission, for example. |
Where are the carrier codes listed?Appendix 2 of your SCDHHS Provider Manual. |
Will systems recognize a duplicate claim if it is denied?No, because it did not process. |