Learning Resources
Frequently Asked Questions
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WEB TOOL |
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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 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”. | |
When should eligibility be checked?You should check before providing services. | |
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. | |
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. | |
Why are Web Tool claims suspending?Contact the PSC, option “2” for claims issues. | |
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. | |