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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.

HIPAA 5010 - Effective January 1, 2012

  • 270/271 Eligibility Verification Request/Response
  • 820   Premium Payment
  • 835 Health Care Claim Payment / Advice
  • 837D   Health Care Claim (Dental)
  • 837I   Health Care Claim (Institutional)
  • 837P   Health Care Claim (Professional)