Commercial Insurance:  For your convenience our office will send an insurance claim form to your primary insurance company. In order for us to file your insurance, each patient must sign a lifetime authorization form. We also need you to present to our business office the name of your insurance company, their address, your group and policy numbers, policy holder’s date of birth, effective date of coverage, whether your plan is single or family coverage and the amount of your co-pay or deductible.

It is your responsibility to know if the physicians, allied health professionals, or outreach providers of Black Hills Pediatrics, L.L.P. are in your insurance network.

It is also your responsibility to know your insurance network, coverage, deductible, and copay.

Please be sure to inform our office if your insurance company requires Pre-admission Certification for hospitalizations or Pre-certification for procedures and/or tests. Failure to do this may cause a reduced reimbursement by your insurance company.

Should be any changes in your insurance coverage, please be sure to notify our office so that we may file your insurance claims correctly.

Please note that you are responsible for the payment of your account regardless of your insurance coverage.

Medicaid: If your child is covered under the South Dakota Medicaid Program and you wish one of our providers to be your child’s Primary Care Physician (PCP), you need to contact our office to receive a letter of acceptance from that provider

Please bring your child’s Medicaid card to each visit to verify that we have the correct insurance number. If your child has not received his or her card you should contact the Department of Social Services office to get a temporary printout confirming eligibility.

Please inform our business office of any other insurance coverage that your child may have in addition to Medicaid.

If your child’s PCP is NOT a physician at our clinic, you MUST bring a referral card from your child’s PCP or your appointment will need to be rescheduled.

If your child’s PCP is a physician at our clinic, you must call for authorization before being seen at another clinic. For certain services, such as emergencies, dental and optometric care, authorization is not necessary.