Frequently Asked Questions


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Frequently Asked Questions

 

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WEB TOOL

When I try to change my Web Tool password, it keeps saying I haven’t met the criteria. What should I do?

The system recognizes when your password does not meet the password requirements.  However, if you have reviewed your selected password and it does meet the password requirements, contact the EDI Support Center at 1-888-289-0709, and choose Option “1”. 

Entry link: When I try to change my Web Tool password, it keeps saying I haven’t met the criteria.  What should I do?

When should eligibility be checked?

You should check before providing services.

Entry link: When should eligibility be checked?

When would you use a void?

You would use a void if you bill for something by mistake; accidental claim submission, for example.

Entry link: When would you use a void?

Where are the carrier codes listed?

Appendix 2 of your SCDHHS Provider Manual.

Entry link: Where are the carrier codes listed?

Where can I attach documentation to my Web Tool claim?

On the Claim Entry screen, go to the Document tab to attach your documentation. (Effective August 17, 2015) Claims Attachments – Web Tool Reference Guide.

Entry link: Where can I attach documentation to my Web Tool claim?

Why are Web Tool claims suspending?

Contact the PSC, option “2” for claims issues. 

Entry link: Why are Web Tool claims suspending?

Will MCO info be available via the Web Tool?

A provider can verify Managed Care Organization enrollment on the eligibility section of the Web Tool under the “Beneficiary Special Program Data” section.

Entry link: Will MCO info be available via the Web Tool?

Will systems recognize a duplicate claim if it is denied?

No, because it did not process. 

Entry link: Will systems recognize a duplicate claim if it is denied?

Will voids show up on the remit?

Yes

Entry link: Will voids show up on the remit?

Will Web Tool list information auto-update for you as changes are made?

No, it is not tied to another system. Updates are your responsibility.

Entry link: Will Web Tool list information auto-update for you as changes are made?


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