CMI briefingSCDHHSLeadership & Compliance

SCDHHS claims – Filing options, addresses, and forms

This is SCDHHS's guidance page on how providers file claims directly to SCDHHS, including paper submission addresses, electronic filing tools, and related forms.

Updated Aug 30, 2026

This page is CMI's own briefing on the topic, written by CMI. It is not the text of the regulation. Read the regulation itself in the Regulatory hub.

Overview

In addition to information about how to submit claims and view remits, SCDHHS offers tools to find specific information, such as claim status and member eligibility status. SCDHHS accepts claims in a variety of formats, including electronic and paper claims.

Note: These claim filing options apply only to providers that will file a direct claim to SCDHHS. Providers filing a dental or pharmacy claim or filing with a MCO, should refer to the claims filing options detailed in the respective provider manuals.

Providers filing directly to SCDHHS may choose one or more of the following options for filing claims:

Paper Claim Submissions

Please mail paper claims to Medicaid Claims Receipt at the following address:

  • CMS-1500: P.O. Box 1412, Columbia, S.C. 29202
  • UB-04: P.O. Box 1458, Columbia, S.C. 29202
  • Nursing Facilities/Intermediate Care Facilities for Individuals with Intellectual Disabilities/Swing-Bed Hospitals: P.O. Box 100122, Columbia, S.C. 29202
  • Community Residential Care Facilities: P.O. Box 67, Columbia, SC 29202-0067
  • Claim Reconsideration: P.O. Box 8809, Columbia, S.C. 29202

Electronic Claim Submissions

South Carolina Medicaid Web-based Claims Submission Tool

This tool is a free, online Web-based application for submitting HIPAA-compliant professional claims, institutional claims, and associated adjustments to South Carolina Medicaid.

SC Medicaid Portal

The Medicaid Web Tool Online Training includes six interactive videos that cover the following topics: getting started, customize your web tool, check eligibility, enter a claim, submit a claim and revisit, re-use and remit.

File Transfer Protocol

Contact the EDI Support Center via the PSC at (888) 289-0709, option 1 for additional information.

Forms

  • Claim Reconsideration Form (PDF)
  • Claim Adjustment Form 130 (PDF)
  • Duplicate Remittance Advice Request Form (PDF)
  • Appendix 1 (PDF)

General information, not legal advice. Requirements change; confirm against the official source before you act, or ask us how this applies to your organization.