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Claims

WellCare of South Carolina wants to ensure that claims are handled as efficiently as possible. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements.

Institutional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions.

Professional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Dental Claims/Encounters Guides

Other Resource Guides

Explains how to receive, load and send 834 EDI files for member information.

Instructions on how to submit a corrected or voided claim.

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Last Updated On: 6/5/2017
On September 1, 2018, our premium payment services changed. These changes will make it easier for you to pay your premium. Read more. ×