Edit 990See how to resolve edit code 990 at Frequently Addressed Edit Codes. |
Edit 989See how to resolve edit code 989 at Frequently Addressed Edit Codes. |
Edit 953See how to resolve edit code 953 at Frequently Addressed Edit Codes. |
Edit 150See how to resolve edit code 150 at Frequently Addressed Edit Codes. |
I am a provider with multiple NPIs attached to my Medicaid ID. I completed the provider revalidation application for my primary NPI. Why are my claims being rejected?Within 30 days from the date on the revalidation notification letter, all other NPIs attached to your Medicaid ID will need to complete an electronic provider enrollment application. To access the online provider enrollment application, copy and paste https://providerservices.scdhhs.gov/ProviderEnrollmentWeb/ into your browser. If you did not complete an electronic provider enrollment application for all non-primary NPIs associated with your Medicaid ID and you wish to continue billing with those NPIs, claims for those NPIs will be rejected. You may resubmit claims once you have received confirmation that the electronic provider enrollment application is complete. Revalidation FAQs PDF |
On a hospital claim, if the pay-to provider has revalidated, but the line provider fails to revalidate, will the claim deny?If MMIS validates the NPI of the rendering physician, then the claim will deny if the individual has not revalidated. Revalidation FAQs PDF |
Will there be training available for the South Carolina Healthy Connections Medicaid provider revalidation process?There will be webinars, e-learning opportunities, and classroom training sessions available. For information about dates, times and registration, please visit medicaidelearning.remote-learner.net. Revalidation FAQs PDF |
Where can I find additional information about the South Carolina Healthy Connections Medicaid provider revalidation process?For additional information about the South Carolina Healthy Connections Medicaid provider revalidation process, please visit www.scdhhs.gov/revalidation or medicaidelearning.remote-learner.net. Revalidation FAQs PDF |
I am an out of state South Carolina Healthy Connections Medicaid provider who has paid the provider revalidation fee for the state where I practice. Do I need to pay the South Carolina Healthy Connections Medicaid provider revalidation fee?No, not if you have paid your Medicare fee in the last 12 months. Revalidation FAQs PDF |
I am also a Medicare provider and I have paid the provider revalidation fee to Medicare. Do I need to pay the South Carolina Healthy Connections Medicaid provider revalidation fee?No, not if you have paid your Medicare fee in the last 12 months. Revalidation FAQs PDF |