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.

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, a CMS-1500 fills with the right units and the right payer block where a payer wants one — and where your state bills on its own form or an invoice, the dated, timed, priced lines that go on it come off the grid, and the receivable is tracked from 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.

Billing addresses and submission preferences 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 and their submission preferences get set up during onboarding, from your own files.

Case files, adjusters, mileage, receivables.

Nurse case management billing works in South Carolina today: activity grid, the priced lines your invoice is built from, aging by payer, and mileage and wait time on their own lines.

It is the same week an Ohio vocational rehabilitation case manager works, in different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. Thirty-odd billable touches a day either way, and the same four documents behind every one of them. The nurse case manager page has the whole workflow.

Questions, answered.