Learning Resources
Frequently Asked Questions
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Can you accept a member as just a private pay patient even if they have Medicaid?Yes, you just have to let them know before they receive any services. | |
Can I add a member to the TAD if documentation is not approved? | |
What are some of the new provider screening and enrollment guidelines?
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How do I know that my credit balance report was received?Providers may send an e-mail request for Medicaid credit balance receipt confirmation to creditbalancemivs@bcbssc.com. For questions call 1-888-289-0709 option 5, option 1. | |
If you know a service isn’t covered, do you still file to the other carrier?Yes, you still file to the other carrier to obtain a valid denial. Three denials should be kept on file each year. | |
For HIPP referral, who should you contact?For HIPP referral, providers should contact the Medicaid Insurance Verification Services at 1-888-289-0709 option 5, option 4. The HIPP Fax is 803-462-2580. | |
Edit 990See how to resolve edit code 990 at Frequently Addressed Edit Codes. | |
Edit 989See how to resolve edit code 989 at Frequently Addressed Edit Codes. | |
Edit 953See how to resolve edit code 953 at Frequently Addressed Edit Codes. | |
Edit 150See how to resolve edit code 150 at Frequently Addressed Edit Codes. | |