Learning Resources
Frequently Asked Questions
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How can we get an enrollment status update?Contact the Provider Service Center (PSC) (888) 289-0709, option 4 for Provider Enrollment. Please have your Reference ID number available. | |
How do I file a replacement claim for a paid claim that is partly incorrect?Go to the Web Tool submission page. Log in; go to claims entry/history; click on the correct batch number; click on the correct claim number; copy; click the claim type on the left; click on batch, claim; edit; scroll down to claim submission reason code; select replacement. To complete this task, you must have the original Claim Control Number (CCN). | |
Can I check claim status on the Web Tool?Yes. Key in the NPI or provider ID number and the recipient ID number and press submit. | |
Can batches be deleted after they are sent?No. Batches cannot be deleted at this time. | |
Will systems recognize a duplicate claim if it is denied?No, because it did not process. | |
Where are the carrier codes listed?Appendix 2 of your SCDHHS Provider Manual. | |
When would you use a void?You would use a void if you bill for something by mistake; accidental claim submission, for example. | |
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. | |
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. | |