Learning Resources
Frequently Asked Questions
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WEB TOOL: SUBMIT A CLAIM |
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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 member’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. | |