Medicaid South Carolina

Summary

Medicaid South Carolina is a dental and medical payer operating in South Carolina. Claims route under payer ID SCMED, with 10 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

SCMEDAlso seen as 10179, 12K55, CKSC1, SCCAID, SCMCD, SCMEDICAID and 4 more

Also known as

Healthy Connections Medicaid, SCDHHS, South Carolina Department of Health and Human Services, South Carolina Medicaid

Service area

SC

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Medicaid South Carolina?

The payer ID for Medicaid South Carolina is SCMED. Alternate IDs seen across clearinghouses include 10179, 12K55, CKSC1, SCCAID.

Does Medicaid South Carolina require ERA enrollment?

Yes. Medicaid South Carolina requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicaid South Carolina cover?

Medicaid South Carolina operates in SC. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Medicaid South Carolina offer?

Medicaid South Carolina covers dental and medical.

Can I submit claims to Medicaid South Carolina electronically?

Yes. Medicaid South Carolina is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).