How can we get an enrollment status update?Contact the Provider Service Center (PSC) (888) 289-0709, option 4 for Provider Enrollment. Please have your Reference ID number available. |
How do I file a replacement claim for a paid claim that is partly incorrect?Go to the Web Tool submission page. Log in; go to claims entry/history; click on the correct batch number; click on the correct claim number; copy; click the claim type on the left; click on batch, claim; edit; scroll down to claim submission reason code; select replacement. To complete this task, you must have the original Claim Control Number (CCN). |
I cannot enter all of the characters in a procedure code or a diagnosis code. Can you help me?Remove decimal points from the code. To start afresh, backspace to the beginning of the field or highlight the characters in the code and press delete. |
Can batches be deleted after they are sent?No. Batches cannot be deleted at this time. |
Will systems recognize a duplicate claim if it is denied?No, because it did not process. |
Where are the carrier codes listed?Appendix 2 of your SCDHHS Provider Manual. |
When would you use a void?You would use a void if you bill for something by mistake; accidental claim submission, for example. |
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. |
What is the payment cycle?The payment cycle is: Wed-Mon, payments are processed on Tuesday, and payment is received as early as Friday. |
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. |