South Carolina Medicaid

Please follow the Enrollment Instructions below to become an electronic submitter for South Carolina Medicaid.

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed, and returned to the Medicaid office prior to initiation of electronic claims submission or inquiry.
 

1. Trading Partner Agreement

 

If you have trouble accessing the link above, you can download the application directly from their site by going here: https://www.scdhhs.gov/resource/electronic-data-interchange-edi

(the forms are listed at the bottom of that page)

 

If you have any questions regarding any of the documents in this package, please phone the Medicaid EDI Technology Support Center at 1-888-289-0709.

 

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

 

Our Vendor Information

Vendor Name - AXIOM Systems, Inc.
Contact - EDI Team
Vendor Code - N/A
Phone - 602-439-2525
Fax - 602-439-0808
Address - 241 East 4th Street, Suite 200
Frederick, MD 21701
Software Name - SolAce EMC
E-mail - Support@SolAce-emc.com

Trading Partner Agreement Enrollment Form

Reason for Submission

- Please select "New Enrollment"

 

Trading Partner Information

- Please enter your provider/business name

- Enter your demographic information, tax ID, NPI, and provider ID

- Please leave the "Trading Partner ID" field blank

- For Type of Business, please select Medicaid Provider if you are with the providers office

- If you are a Billing Service billing on behalf of Medicaid Providers, please check the box for "Billing Service"

 

Provider Contact Information

- Please enter your contact information

- For preference of aggregation, please select either tax ID or NPI and enter the number accordingly

 

Claims Submission/Retrieval Information

- Check the box for "No" stating you will not be using a clearinghouse or billing agent

- Please check the box for "Secure FTP"

- Skip the section for their web-based tool

 

Transactions Requested

- Please check "Yes" for the following transactions, based on your claim type:

     - 837I Institutional claims if you bill on a UB 04

     - 837P Professional claims if you bill on a CMS 1500

     - 835 if you wish to receive your remittance advice (EOBs) electronically

- Please check "No" on the rest of the options listed

 

TPA Authorization Agreement

- Please have the authorized official check the box, print their name, and sign the application

- Please enter today's date as the "Submission Date" and "Requested Effective Date"

- Please complete the last page with any additional Providers you want to link to your Submitter ID

 

 

 

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records. Fax or Mail the enrollment form reflecting original signatures to:

Fax to 803-870-9021

SC Medicaid TPA
P.O. Box 17
Columbia, SC 29202

 

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately two weeks from the date of receipt. (Remember that mailing time can take as much as five days.)

After processing, a confirmation will be sent to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Medicaid EDI Technology Support Center at 1-888-289-0709.

Testing

Once you have received your Submitter ID and Password from Medicaid, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission to Medicaid.

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

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customer Testimonial

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customers From our customers

I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.

Shani Madaminova,
Administrator
Best Home Care, Inc
Jersey City, NJ

SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.

Susie Doran Carter, Westcare Management, Inc.
LTC Medicare Consultant and Billing Service
Salem, OR

I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.

Carolyn Boles
From the office of Donald J. Boles Jr. MD PC
Tempe, AZ

SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.

S. Bowling
Idabel, Oklahoma

Easy to use, Customer support has always been excellent, Thanks SolAce Team.

Carl Shepherd
IT Administrator
THE WYNN GROUP, INC
Dublin, GA

I am a new client and was having a tough time getting everything set up just right. I had to make calls to CEDI and when I called back the rep I spoke with prior even helped the 2nd rep to make sure I got all the info I needed. They definitely work as a team. Within a short period of time they had my system up and running. I never could've done it without them.

Denise
Margate, FL

Awesome customer service every time!

Denise
Bellevue, NE

I can't tell you how wonderful it is to work with your agency. They are courteous, knowledgeable,friendly, and a joy to work with - I can't say enough. Thank you!!

Doreen
Bemidj, MN

The service was very good. Phone answered promptly even though it was around 6 p.m. my time. Very courteous and helpful. So far I have had really good experiences with your support team.

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Mahornet, IL

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Batavia, IL

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Orlando, FL

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Largo, FL