South Carolina workers’ comp case management billing —
what the market really is.

Your week, in South Carolina’s documents.

Public-employer claims on one side, private carriers on the other, and one caseload carrying both.

• 7:50 a.m.
  Calls on a State Accident Fund file and two carrier files.Payer belongs to the claim, so nothing gets mixed at invoice time.
• 10:40 a.m.
  Appointment attended, wait time, 48 miles.Itemised as they happen.
• 1:55 p.m.
  Monthly reports for two payers.Both built from the same entries.
• 4:20 p.m.
  Invoices out, receivables aging separately.Because public and private payers do not pay at the same speed.

One check, four claimants, one short-pay caught at $16.14, $674.07 still owed. Invented names, real workflow — and the same screen whether you invoice a TPA in South Carolina or an MCO in Ohio.

Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, the invoice fills with the right units and the right payer block, and the receivable exists the moment the bill leaves. The whole chain →

Who pays you in South Carolina.

The South Carolina State Accident Fund for public employers, and the national carriers and TPAs for everybody else. Two rhythms, one caseload.

One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.

Payer fax numbers and billing addresses go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your South Carolina payers, their submission addresses and their quirks get set up during onboarding, from your own files.

Case files, adjusters, mileage, invoices.

Nurse case management billing works in South Carolina today: activity grid, itemised invoice, aging by payer, and mileage and wait time on their own lines.

It is the same week Dana works in Ohio with different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. The nurse case manager page has the whole workflow.

Questions, answered.