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.
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-specific setup — 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, 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.Out of the weekly logs it already wrote.
- 4:30 p.m.Invoice out, receivable aging from today.And a Tuesday follow-up list.
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, a CMS-1500 fills with the right units and the right payer block where a payer wants one — and where your state bills on its own form or an invoice, the dated, timed, priced lines that go on it come off the grid, and the receivable is tracked from the moment the bill leaves. The whole chain →
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-specific setup to bill.
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.
Billing addresses and submission preferences 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 and their submission preferences get set up during onboarding, from your own files.
Case files, adjusters, mileage, receivables.
Nurse case management billing works in South Dakota today: activity grid, the priced lines your invoice is built from, 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 log behind the bill
A weekly narrative log per case file, dated and grouped, reproducing your own Word template — and where a payer wants a CMS-1500 the software fills one. It does not write an invoice document today: the dated, timed, priced lines that go on yours come off the grid.
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 an Ohio vocational rehabilitation case manager works, in different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. Thirty-odd billable touches a day either way, and the same four documents behind every one of them. The nurse case manager page has the whole workflow.
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: (302) 202-3172 or admin@onservice.us.
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: (302) 202-3172.
States that work like South Dakota
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 itemized lines at your own rates.
Where is my data?
On your computer, in your own folders.
See your own week run itself.
We load your state’s codes before the call, so you are looking at a caseload like yours inside the first two minutes — not a slide deck.