Medical Billing Services in South Dakota

Medical Billing for South Dakota Physicians

South Dakota’s healthcare market is led by Avera Health Plans, Sanford Health Plan, and DakotaCare, with Wellmark BCBS also active. South Dakota has not expanded Medicaid, and the program operates as fee for service. The state’s rural geography and Indian Health Service presence create unique billing dynamics. Go Medical Billing serves South Dakota practices from Sioux Falls to Rapid City, Aberdeen to Pierre, and across the state.

South Dakota Billing Specifics

Avera and Sanford Health Plans

These two health systems dominate the South Dakota payer market. We handle claims for both and know their SD specific requirements.

South Dakota Medicaid

SD Medicaid is fee for service. We ensure claims meet the state’s billing and documentation requirements.

Our Services

• Medical billing and coding with AAPC certified coders
• Credentialing and payer enrollment for Medicaid, Medicare, and commercial plans
• Accounts receivable recovery for aging and denied claims
• Prior authorization management including Medicaid MCO requirements
• Patient billing with clear statements and professional follow up
• Eligibility verification before every appointment

Pricing

Starting at 2.49% of net collections. Finding qualified billers in South Dakota is a challenge. We remove that hiring burden entirely.

Call 888 701 6090 for a free South Dakota billing assessment.