Get Section 3 Sc Dhhs - Scdhhs.gov

This guide provides a clear, step-by-step approach on how to fill out the Section 3 Sc Dhhs - SCDHHS.gov form online. Designed to be user-friendly, this guide aims to facilitate the completion of the necessary sections and fields for efficient billing procedures.

Follow the steps to complete the online form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the general information section, ensuring that all required fields are completed accurately.
3. Provide details on usual and customary rates for billing by entering your standard rates and ensuring they comply with SC Medicaid requirements.
4. In the claim filing timeliness section, indicate the date of service and ensure the claim adheres to Medicaid's one-year submission rule for clean claims.
5. For claims involving dual eligibility, ensure to file to Medicare first and capture the necessary details for crossover claims.
6. Complete the CMS-1500 claim form accurately, providing patient and insured information, procedure codes, and diagnosis codes as specified.
7. Include any prior authorization numbers if applicable and ensure that the correct modifiers are used for procedures rendered.
8. Once all sections are completed, review the information thoroughly for accuracy and completeness.
9. Save your changes, and download or print the form for your records. You may also share the form as required.

Begin filling out your documents online today for smooth and efficient processing.