Learning Resources
Frequently Asked Questions
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Is the Web Tool claim ID number automatically entered?Yes. | |
Is the Web Tool updated daily?Yes, the Web Tool is updated every night. | |
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. | |
Is there a way to find a claim in History if you had not submitted it through the Web Tool?No; you can only view that claim’s status. | |
Is this the same thing as the Durable Medical Equipment (DME) revalidation process?The provider revalidation process for South Carolina Healthy Connections Medicaid providers and South Carolina Healthy Connections Medicaid DME suppliers is the same. The timeline is different. DME suppliers need to revalidate every three years. Revalidation FAQs PDF | |
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On a hospital claim, if the pay-to provider has revalidated, but the line provider fails to revalidate, will the claim deny?If MMIS validates the NPI of the rendering physician, then the claim will deny if the individual has not revalidated. Revalidation FAQs PDF | |
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Should claims returned on Form 017 or 017CI without processing be re-filed? | |
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The bulletin references March 2016 as being the due date/last day for provider revalidation.Is that the last day that I can submit my provider revalidation application? Is that the day I will receive provider revalidation confirmation from South Carolina Healthy Connections Medicaid? South Carolina Healthy Connections Medicaid mailed revalidation notification letters for phase 1 of provider revalidation on June 4th, 2015. South Carolina Healthy Connections Medicaid provider revalidation will occur in phases from June 2015 to March 2016. When it is time to revalidate your enrollment as a South Carolina Healthy Connections Medicaid provider, you will receive a revalidation notification letter in the mail. Revalidation FAQs PDF | |
To which address will the provider revalidation notification letter be mailed?The provider revalidation notification letter will be mailed to the primary practice location address. Revalidation FAQs PDF | |
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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. | |