Frequently Asked Questions


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Frequently Asked Questions

 

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If you copy an entire Web Tool batch over, can you choose which claims to submit?

Yes

If you have primary diagnosis codes, do you have to add additional codes?

No, you just need the primary code.

Is the Web Tool claim ID number automatically entered?

Yes.

Is there a limit to the number of claims in a Web Tool batch?

There is not a limit to the number of claims in a batch.

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.

What is the payment cycle?

The payment cycle is: Wed-Mon, payments are processed on Tuesday, and payment is received as early as Friday.

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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