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South Dakota · SD

Billing, marketing, staffing and software for South Dakota practices

RCM Finder supports medical practices in South Dakota 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 Dakota, with sources.

South Dakota and major cities
Sioux FallsRapid CityPierreAberdeenBack to the full map

South Dakota billing details

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

TopicWhat applies in South DakotaSourceChecked
Medicare contractorNoridian Healthcare Solutions (A/B MAC JF)CMS, A/B MAC Jurisdiction JFOct 20, 2026
Medicaid agencyDepartment of Social ServicesOfficial provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for South Dakota Medicaid providersOpen the provider pageOct 20, 2026
Medicaid fee schedulePublished fee schedules for South Dakota MedicaidOpen the fee schedule pageOct 20, 2026
Commercial prompt paymentA clean claim must be paid, denied, or settled within 30 calendar days of the carrier's receipt if submitted electronically, and within 45 calendar days otherwise, if the claim is payable under the plan. The rules apply to health insurers and HMOs issuing medical expense coverage under the listed chapters of Title 58 (not disability income, accident-only, credit health, workers' compensation, long-term care, Medicare supplement, or auto medical payment), and they create no private right of action. The sections do not state a late-payment interest rate.
SDCL 58-12-20 (time limits), 58-12-19 (clean claim defined), 58-12-21 (applicability)
sdlegislature.govOct 20, 2026
Medicaid timely filingSouth Dakota Medicaid must receive a completed claim within 6 months following the month the services were provided, so the deadline is the last day of the sixth month after the service month.dss.sd.govOct 20, 2026
Medicaid telehealthThe South Dakota Medicaid Telemedicine Services billing manual covers telemedicine and audio-only services, including eligible providers and recipients, covered procedure codes, site requirements, documentation and billing, and says telemedicine services follow the same requirements and limits as in-person services.dss.sd.govOct 20, 2026

Major cities in South Dakota

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

Sioux FallsRapid CityPierreAberdeen
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 Dakota practice questions

Who processes Medicare claims in South Dakota?

Noridian Healthcare Solutions is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in South Dakota (A/B MAC JF), according to CMS.

Which agency runs Medicaid in South Dakota?

Department of Social Services runs Medicaid in South Dakota. The official state pages linked in the table above cover provider enrollment and billing.

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

A clean claim must be paid, denied, or settled within 30 calendar days of the carrier's receipt if submitted electronically, and within 45 calendar days otherwise, if the claim is payable under the plan. The rules apply to health insurers and HMOs issuing medical expense coverage under the listed chapters of Title 58 (not disability income, accident-only, credit health, workers' compensation, long-term care, Medicare supplement, or auto medical payment), and they create no private right of action. The sections do not state a late-payment interest rate.

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

South Dakota Medicaid must receive a completed claim within 6 months following the month the services were provided, so the deadline is the last day of the sixth month after the service month.

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

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

Which service should a practice in South Dakota 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.

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Ask about your South Dakota practice

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

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