Frequently Asked Questions


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Frequently Asked Questions

 

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If I have two separate claims for one beneficiary, do I have to enter the claim information twice on Web Tool?

Yes, you would have to submit two different claims. You can go to your submitted claim bucket and copy the claim with additional edits and changes and then resubmit it instead of rekeying two claims.

Can you print the batch ID?

Yes you can, by doing a file>print from the browser bar.

Where are your procedure codes located?

Procedure codes are located in Section 4 of your manual and the DHHS website.

Do you have to submit claims through Web Tool?

No, you may use other options like hard copy or vendor/clearing house.

What is the payment cycle?

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

If you are checking a new person’s eligibility, can you add them to your recipient list from that screen?

Yes, there is a button to do that.

What form needs to be completed for access to the Web Tool?

The trading partner agreement form needs to be completed.

Where do you get the bulletins?

You can sign up for e-bulletin on the SCDHHS.gov page.

When would you use a void?

You would use a void if you bill for something by mistake; accidental claim submission, for example.

Where is the Provider Service Center located?

It is housed at MCCS.

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