Absolute Total Care provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.absolutetotalcare.com/providers.html |
|---|---|
| Payer contact reference | 1-866-433-6041 |
| Claims payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| Eligibility payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| ERA payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| Timely filing | SC Medicaid: 365 days from service |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- This registry has not established a payer-specific appeal ladder for Absolute Total Care. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Absolute Total Care at a glance
| Legal name | Absolute Total Care, Inc. |
|---|---|
| Also known as | ATC, Absolute Total Care SC |
| Category | Medicaid MCO |
| Parent organization | Centene Corporation |
| Claims payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| Eligibility (270/271) payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | South Carolina |
| Members covered | ~250k members |
| Provider resource entry point | https://www.absolutetotalcare.com/providers.html |
| Provider phone | 1-866-433-6041 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Absolute Total Care
The 2026 South Carolina Medicaid manual lists 365 days from service for initial claims. Provider disputes use 60 days from EOP. Confirm product, contract and exceptions; Ambetter and Medicare instructions are separate.
| Submission type | Window |
|---|---|
| Initial claim reference | SC Medicaid: 365 days from service |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Absolute Total Care. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Absolute Total Care provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Absolute Total Care
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Absolute Total Care electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Absolute Total Care. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Absolute Total Care
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Absolute Total Care volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| 270 / 271 eligibility | Listed in registry; verify current scope | 68069 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 68069 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- The January 2026 South Carolina Medicaid manual lists 365 days from service for initial, corrected/reconsideration and coordination-of-benefits claims. Provider disputes have a separate 60-day clock from the explanation of payment.
- Medical claims 68069 applies through the manual’s named Emdeon/Web MD/Envoy/Availity routes. Other medical clearinghouses and behavioral-health claims use different identifiers; confirm the product, service and clearinghouse.
- The manual describes 835 generation, not one certified universal ERA enrollment ID or X12 278 capability. Ambetter and Medicare instructions are separate.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
timely_filing_days, filing_rule, provider_phone, payer_ids.claims, electronic_claims_supported
Source comparison: 2026-09-18
The January 2026 SC Medicaid manual separates initial/corrected/COB 365 days from service and provider-dispute 60 days from EOP. The prior 180-day initial-claim value was replaced. Medical versus behavioral and clearinghouse-specific claims IDs differ; 835 generation does not certify one ERA routing ID or 278. Source locator: Printed p 131/PDF 132 timing/EDI table visually inspected; p 16 phone. Document/version: January 2026 filename; copyright 2026.
Primary source for timely_filing_days, filing_rule, provider_phone, payer_ids.claims, electronic_claims_supported
Not checked in this pass: All fields outside these bounded findings, including exact legal entity/NAIC, current enrollment and geography; Product-complete initial, corrected, secondary and appeal rules, agreements, exceptions and effective dates; Every claims, eligibility, ERA and authorization transaction identifier; portal access is not capability certification; Current clinical criteria and prior-authorization code samples; QuickIntell integrations/outcomes and historical DataForSEO demand; Accountable whole-record editorial approval; no last_reviewed date was advanced.
Sources used for this guide
State coverage
Absolute Total Care operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Absolute Total Care
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Absolute Total Care; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Absolute Total Care; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Absolute Total Care before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Absolute Total Care
Where is the Absolute Total Care provider portal?
Use https://www.absolutetotalcare.com/providers.html as a starting point for Absolute Total Care provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Absolute Total Care?
The 2026 South Carolina Medicaid manual lists 365 days from service for initial claims. Provider disputes use 60 days from EOP. Confirm product, contract and exceptions; Ambetter and Medicare instructions are separate.
What is the Absolute Total Care payer ID?
Claims: 68069 — registry reference; verify the member product, transaction and clearinghouse. Eligibility (270/271): 68069 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 68069 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Absolute Total Care accept electronic claims?
Verify Absolute Total Care electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Absolute Total Care denial?
This registry has not established a payer-specific appeal ladder for Absolute Total Care. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Absolute Total Care prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Absolute Total Care provider phone number?
This registry lists 1-866-433-6041 as a contact reference for Absolute Total Care. Confirm the number and service scope against the member ID card and current product-specific directory; claims, eligibility and authorization inquiries may use different teams.
Automate workflows around Absolute Total Care requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Absolute Total Care's current published documents before submission. CPT® is a registered trademark of the American Medical Association.