Q: How can I obtain claim status?
A: If it has been over 45 days since submitting the claim and it is not on any remittance advice, please re-file.
Q: How can I obtain a copy of a remittance advice?
A: Remittance advices are sent to the payment address listed on file for the provider. Billing companies are required to contact their contracted provider for any remittance or check information. Limited remittance advices may be provided only in extenuating circumstances. These approved requests will be sent to the address on the remittance advice by mail. Providers should wait 30 days from the payment date before requesting duplicate remittance advices.
Q: How do I find resolutions to edit codes?
A: All DME edit codes and resolutions are located in your
DME Edit Codes and Resolutions.
Q: How do I verify a recipient’s medicaid eligibility?
A: DHHS has a toll free eligibility verification line. The number is 1-888-809-3040. For those providers using the
SC Web Tool eligibility can be verified on line.
Q: How do I find updated insurance carrier codes and addresses?
A: The listing is in the Durable Medical Equipment Manual or click here to be directed to the Carrier Codes
Q: How long does it take me to get payment once I file a claim?
A: Typically a error free claim will process are processed within 45 days. Electronic claims have a faster turnaround time. If you are interested in filing claims electronically click here
Electronic Claims Tool.
Q: How should I handle Medicare primary recipients?
A: Medicare should be billed before billing Medicaid. In all circumstances Medicaid is the payor of last resort. If you would like to access the Medicare website
click here
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