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South Carolina · SC

Billing, marketing, staffing and software for South Carolina practices

RCM Finder supports medical practices in South Carolina remotely, with end to end revenue cycle management, healthcare digital marketing, virtual medical assistance and a practice management system. Below are the Medicare and Medicaid details that apply in South Carolina, with sources.

South Carolina and major cities
CharlestonColumbiaGreenvilleMyrtle BeachBack to the full map

South Carolina billing details

Each row shows its source and when we checked it. If a source changes, we update the row.

TopicWhat applies in South CarolinaSourceChecked
Medicare contractorPalmetto GBA (A/B MAC JM)CMS, A/B MAC Jurisdiction JMOct 20, 2026
Medicaid agencySouth Carolina Department of Health and Human Services
Healthy Connections program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for South Carolina Medicaid providersOpen the provider pageOct 20, 2026
Medicaid fee schedulePublished fee schedules for South Carolina MedicaidOpen the fee schedule pageOct 20, 2026
Commercial prompt paymentSouth Carolina requires insurers, including HMOs, to pay a clean health claim within 20 business days if submitted electronically or 40 business days if submitted on paper, counted from the later of receipt or receipt of needed information, with interest on late payments at the rate in Section 34-31-20(A).
S.C. Code Ann. 38-59-230 and 38-59-240 (definitions in 38-59-210)
scstatehouse.govOct 20, 2026
Medicaid timely filingSouth Carolina Medicaid claims must be filed within one year of the date of service, or the date of discharge for hospital claims.scdhhs.govOct 20, 2026

Major cities in South Carolina

We support practices in these cities and everywhere else in South Carolina, remotely.

CharlestonColumbiaGreenvilleMyrtle Beach
How we work

Remote by design

No office visit needed

We support practices in every state remotely, so you do not need a local office to work with us.

Rules checked for your state

Each state page lists the Medicare contractor and Medicaid details for that state, with sources and the date we last checked.

One service or all four

Begin where the gap is biggest, whether that is payments, new patients, front-desk capacity or your software.

South Carolina practice questions

Who processes Medicare claims in South Carolina?

Palmetto GBA is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in South Carolina (A/B MAC JM), according to CMS.

Which agency runs Medicaid in South Carolina?

South Carolina Department of Health and Human Services runs Medicaid in South Carolina (the Healthy Connections program). The official state pages linked in the table above cover provider enrollment and billing.

How quickly must insurers pay a clean claim in South Carolina?

South Carolina requires insurers, including HMOs, to pay a clean health claim within 20 business days if submitted electronically or 40 business days if submitted on paper, counted from the later of receipt or receipt of needed information, with interest on late payments at the rate in Section 34-31-20(A).

How long do I have to file a Medicaid claim in South Carolina?

South Carolina Medicaid claims must be filed within one year of the date of service, or the date of discharge for hospital claims.

Do you work with practices outside the largest cities in South Carolina?

Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Charleston.

Which service should a practice in South Carolina start with?

Start where the problem is biggest: End to End RCM if payments are slow or denials are high, Healthcare Digital Marketing if your schedule has gaps, Virtual Medical Assistance if your front desk is stretched, or a Practice Management System if your tools are scattered. Tell us about your practice and we will suggest a first step.

What should I send first?

A short description of your practice, your specialty, your main payers and the biggest problem you want fixed. Our form asks for the basics.

Free consultation

Ask about your South Carolina practice

We will reply with the details that apply to South Carolina and a suggested first step.

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