SC Medicaid Web-based Claims Submission Tool     

The South Carolina Medicaid Web-based Claims Submission Tool (Web Tool) is an online application for submitting HIPAA-compliant claims to South Carolina Medicaid.  With the Web Tool, South Carolina providers can easily send CMS-1500, UB-04, and Dental claims and their associated adjustments to South Carolina Medicaid via the Internet. The Web Tool  can also be used to retrieve accurate eligibility information from the Medicaid Eligibility Verification System (MEVS).

The SCMWBCST User Guide gives  important  basic information on how to use the Web Tool, while the CMS-1500, Dental and UB-04 Addenda describe specific information about each field for each claim type.

CMS-1500 Addendum         Updated            03/20/2009

Web Tool Quick Reference Guide    Updated  08/14/2007

The Quick Reference Guide summarizes the most frequently used claims submission commands.The guide is designed to give users quick access to instructions on how to enter, submit, and/or check the status of their claims and adjustments.

Web Tool Times

South Carolina Department of Health and Human Services (SCDHHS) publishes a quarterly newsletter that provides users with the latest information about the Web Tool. The newsletter focuses on specific topics that need clarification, and also includes information about revisions and enhancements to the Web Tool as they are developed.

2007 

2006 

2005 

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