South Carolina Billing Rights

Filing a Complaint

The South Carolina Department of Insurance (SCDOI) has enforcement over issuers (insurance companies and HMOs), while providers and facilities will be under federal enforcement.

Consumers will have the right to appeal health plan denials and decisions that bill the patient for an amount higher than allowable under the provisions of the law. If the plan upholds its decision, an independent external reviewer will make a final determination.

If you believe you have received a surprise medical bill from a provider for the services specified above, you have several options to consider.

If your insurance is denying the claim, you can contact the Office of Consumer Services here at the SCDOI. Please call 803-737-6180 to speak with an Insurance Regulatory Analyst. You can also email your question to consumers@doi.sc.gov or file an online complaint at sbs.naic.org/solar-web/pages/public/onlineComplaintForm/onlineComplaintForm.jsf?state=SC&dswid=9199 =.

If your issue is with the provider or healthcare facility, contact the federal government by visiting www.cms.gov/nosurprises/consumers to file a complaint or by calling 800-985-3059 (toll-free).

State Agency Contact Information

South Carolina Department of Insurance

Phone: 803-737-6180
Website: www.doi.sc.gov/1001/No-Surprises-Act-Information

Additional Information

Visit www.cms.gov/nosurprises/consumers or call 800-985-3059 for more information about your rights under federal law.