Frequently Asked Questions


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Frequently Asked Questions

 

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WEB TOOL: SUBMIT A 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.


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. 



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