Healthy Connections
The Department of Health and Human Services runs Healthy Connections. Managed-care members are billed to their plan. Fee-for-service Medicaid is a separate submission. A Georgia Families plan will not pay a South Carolina member.
Medical Billing Services in South Carolina
Healthy Connections is not Georgia Families. The Medicare jurisdiction is M, not J. The Department of Health and Human Services runs Healthy Connections. Managed-care members are billed to their plan. Fee-for-service Medicaid is a separate submission. A Georgia Families plan will not pay a South Carolina member.
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What a claim follows in South Carolina
Healthy Connections is not Georgia Families. The Medicare jurisdiction is M, not J.
Palmetto GBA, Jurisdiction M
Medicare Part A and Part B for a South Carolina practice go to Palmetto GBA, Jurisdiction M, with North Carolina, Virginia, and West Virginia. Georgia uses Palmetto Jurisdiction J. The company name is the same. The jurisdiction number is not.
Workers' compensation
South Carolina is not a no-fault state. A work injury is billed to the employer's carrier under the Workers' Compensation Commission in South Carolina. It is not a Healthy Connections claim.
Palmetto is based in this region, which makes it easy to send every southern Medicare claim to one mailbox. Georgia is Jurisdiction J. South Carolina is Jurisdiction M. Healthy Connections enrollment does not cover Georgia Families.
Nearby states
South Carolina billing questions
What is Healthy Connections?
South Carolina Medicaid. Managed-care members are billed to their plan.
Where does a South Carolina Medicare claim go?
Palmetto GBA, Jurisdiction M. Georgia uses Palmetto Jurisdiction J.
Does a South Carolina practice change the fee?
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.