South Dakota · ER
Dispute an emergency room services surprise bill in South Dakota
The No Surprises Act prohibits balance billing for emergency services at any facility, regardless of network status.
What the law says
Federal law prohibits the balance billing described in this letter. Under the No Surprises Act (42 U.S.C. § 300gg-111 et seq.) and its implementing regulations, the patient is not financially responsible for any amount in excess of the in-network cost-sharing amount for the items and services at issue.
- 42 U.S.C. § 300gg-111 et seq. (No Surprises Act)
Your options
- Dispute the bill in writing before paying anything. The provider must respond and cannot send the bill to collections during the dispute.
- Notify your health insurer that an apparent NSA-protected service has been balance-billed. Ask them to adjudicate at the in-network cost-sharing amount.
- File a complaint with the federal No Surprises Help Desk at CMS if either party refuses to comply.
- If unresolved, you can invoke the patient-provider Independent Dispute Resolution (IDR) process for an external decision.
Other bill types in South Dakota
- Anesthesiology at an in-network facility
- Lab or pathology at an in-network facility
- Radiology at an in-network facility
- Hospitalist services at an in-network facility
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