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      SC Medicaid Companion Guides

     
    South Carolina Medicaid Companion Guides supplement the HIPAA-required ANSI X-12 Implementation Guide to explain billing instructions specific to South Carolina Medicaid, including code values to be used and use of situational loops.

    If you are modifying your software to be HIPAA compliant, both the Implementation Guide and the Companion Guides should be utilized to ensure the formats are correct.

    Companion Guides

    • 270/271 Eligibility Verification Request/Response (Effective on 02-28-2008)
    • 276/277 Health Care Claims Status Inquiry / Response (Effective on 12-8-2008)
    • 278  Prior Authorization
    • 820  Premium Payment (Updated August 25, 2006)
    • 834   Enrollment
    • 835   Health Care Claim Payment / Advice (Effective on 05-23-2007)
    • 837D   Health Care Claim (Dental) (Effective on 05-24-2008)
    • 837I   Health Care Claim (Institutional) (Effective on 05-24-2008)
    • 837P   Health Care Claim (Professional) (Effective on 06-23-2008)



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