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  • Sc Claim Adjustmen Form 130 Address

Get Sc Claim Adjustmen Form 130 Address

South Carolina Department of Health and Human Services - Claim Adjustment Form 130 Provider Name: (Please use black or blue ink when completing form) Provider Address : Provider City , State, Zip:.

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The program is called Healthy Connections Prime. Enrollment in this program is voluntary, and members may change their plan monthly. Click to learn more about Healthy Connections Prime. An enrollment counselor can help you Monday – Friday, 8 a.m. – 6 p.m., excluding South Carolina state holidays.

Mail at: SCDHHS-Central Mail, P.O. Box 100101, Columbia, SC 29202; or, Toll-Free Fax at: 1-888-820-1204.

You can also contact your Medicaid eligibility worker or call the South Carolina Healthy Connections Resource Center toll-free at 1-888-549-0820.

Providers can access information online to help determine if an individual is enrolled in Medicaid through the South Carolina Medicaid Web Portal, commonly known as the “web tool.” To access the web tool, please visit https://portal.scmedicaid.com/login .

If you have questions about the Medicaid policies and other factors used to reach this decision, please feel welcome to contact the Healthy Connections Medicaid Member Contact Center at (888) 549-0820 (TTY (888) 842-3620).

SCDHHS recommends that you file a claim with the primary insurer within 30 days of the date of service. Regardless of how long the third party takes to reply, providers must still meet Medicaid's timeliness requirements. Delays by other insurers are not a sufficient excuse for timeliness extensions.

Please contact their help line at (800) 726-8774 or visit them online at scthrive.org if you have questions or need assistance.

Verifying Eligibility for Enrolled Members To access the web tool, providers should visit https://portal.scmedicaid.com/login. Providers do not need to have a completed Authorized Representative agreement (SCDHHS Form 1282) when submitting an inquiry on the web tool.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232