SOUTH DAKOTA BILLING FACTS · NURSE CASE MANAGERS SUPPORTED TODAY

South Dakota workers’ comp case management billing —
a five-part test before anyone retrains.

South Dakota gates retraining behind a five-part statutory test, which is why vocational rehabilitation is rare here and never routine. Nurse case management, billed to the carriers and TPAs, is the steady work — and it works today.

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South Dakota Department of Labor and Regulation

The facts, before the pitch.

How billing works in South Dakota

Who you bill
The carrier or TPA.
What you send
CMS-1500 or invoice.
The channel
Direct.
Fee basis
No published rate we have verified. Ask the South Dakota Department of Labor and Regulation before anyone quotes you one — including us.
The clock
Not a deadline we have verified for South Dakota. Ask the South Dakota Department of Labor and Regulation, and read the payer’s own contract, before you rely on a date.

The system. Retraining is gated by a five-part statutory test.

Nurse case managers in South Dakota are supported today. Invoice-based case-management billing needs no state pack — it works here now. Private vocational rehabilitation in South Dakota is a different story, told plainly further down, and there is a South Dakota voc-rehab list you can join.

Your week

Your week, in South Dakota’s documents.

A high statutory bar for retraining, and a rural case-management caseload with real distances in it.

  • 7:35 a.m.
    Calls on three files before the drive west.Entered as they end, with claim numbers attached.
  • 11:10 a.m.
    Appointment attended, wait time, 96 miles.Travel time and mileage as their own lines.
  • 2:10 p.m.
    Monthly report for the carrier.From the same entries, in your own template.
  • 4:30 p.m.
    Invoice out, receivable aging from today.And a Tuesday follow-up list.
The receivables screen: ten bills, one payer check covering four claimants, one short-pay flagged, $674.07 still owed.
One check, four claimants, one short-pay caught at $16.14, $674.07 still owed. Invented names, real workflow — and the same screen whether you invoice a TPA in South Dakota or an MCO in Ohio.

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, the invoice fills with the right units and the right payer block, and the receivable exists the moment the bill leaves. The whole chain →

A high bar

Five statutory conditions before retraining is ordered.

South Dakota’s five-part test is a genuine gate, and it keeps vocational rehabilitation from becoming a routine part of claims here. A vendor promising you a South Dakota voc-rehab practice is promising you something the statute does not supply.

Nurse case management does have weekly volume, and it needs no state pack to bill.

The payer directory

Who pays you in South Dakota.

Private carriers and TPAs, with no state fund. Rural territory, long drives, and mileage that belongs on the invoice as its own line.

South Dakota payers

  • Private carriers
  • TPAs

National carriers you will meet

  • Travelers
  • The Hartford
  • AmTrust
  • Zurich
  • Chubb
  • Berkshire Hathaway
  • Liberty Mutual
  • AF Group / Accident Fund
  • Old Republic
  • Great American

TPAs that send the referrals

  • Sedgwick
  • Gallagher Bassett
  • ESIS
  • Helmsman
  • Broadspire
  • CorVel
  • TRISTAR
  • CCMSI
  • Athens Administrators

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.

Payer fax numbers and billing addresses 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 Dakota payers, their submission addresses and their quirks get set up during onboarding, from your own files.

What is genuinely for sale here today

Case files, adjusters, mileage, invoices.

Nurse case management billing works in South Dakota today: activity grid, itemised invoice, travel time and mileage on their own lines, aging by payer.

The activity grid

Field visit, telephonic call, wait time at the appointment, the miles there and back — logged once, with the claim number, the adjuster and the referral source attached as you type.

The itemised invoice

In the format the payer asks for, from the same entries, with the activity log behind it. No CMS-1500 unless your payer wants one — and some do.

Aging by payer

Every carrier and TPA you invoice, each with billed, paid and still-owed, and an aging list that names who is sitting on your money.

It is the same week Dana works in Ohio with different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. The nurse case manager page has the whole workflow.

South Dakota resources

Where the rules actually live.

Ask the South Dakota Department of Labor and Regulation for

  • the rules that govern rehabilitation billing in South Dakota

We have not published a verified link set for South Dakota yet, and we would rather send you nowhere than somewhere out of date. If you have the current documents, send them over — admin@onservice.us.

How we keep this page honest

Every fact above is transcribed from the South Dakota Department of Labor and Regulation or the statute named, dated July 2026, and reviewed when the agency republishes. Where we have not verified something we say so rather than filling the gap.

Found something out of date? Tell us and we will fix it the same week: 1-877-843-1717 or admin@onservice.us.

What we have not confirmed, and will not claim. South Dakota fee-schedule details are not something we have confirmed, so this page prints no rate. Ask the Department of Labor and Regulation.
South Dakota · what is real today

See a South Dakota case-management caseload run itself.

Fifteen minutes, a case-management caseload on screen, and an honest answer about what South Dakota voc rehab would need. Or join the South Dakota voc-rehab list and we will write to you when there is something real to show.

There is a phone number and a person answers it: 1-877-843-1717.

States that work like South Dakota

North DakotaVR consultant · Configured during onboarding NebraskaVR counselor · Available today MinnesotaQRC · Available today WyomingNurse case manager · Nurse case managers today

All 50 states and the District of Columbia →

Questions, answered.

What is the five-part test?

A statutory gate that has to be satisfied before retraining is ordered. We describe it as a gate rather than reciting it, because we have not verified the current text — ask the Department of Labor and Regulation.

Is there a fee schedule here?

Not one we have confirmed, so no rate is printed on this page.

What is dependable work in South Dakota?

Nurse case management, invoiced to carriers and TPAs, with receivables and aging behind it.

Do you handle long rural drives?

Travel time and mileage are separate itemised lines at your own rates.

Where is my data?

On your computer, in your own folders.

See your own week run itself.

Fifteen minutes, your state’s codes on screen — or start the trial and poke around on your own.

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