State guide · SC ·
Dispute a medical bill in South Carolina.
South Carolina gives you stronger protections than federal law alone. Audra audits your bill against Federal No Surprises Act + South Carolina Department of Insurance rules, the federal No Surprises Act, and your insurer's contracted rates — then drafts a ready-to-send appeal letter in 60 seconds.
The law
Federal No Surprises Act + South Carolina Department of Insurance rules
Cite: S.C. Code § 38-71-1330 + federal NSA
South Carolina relies primarily on the federal No Surprises Act, supplemented by state insurance code provisions on out-of-network billing transparency.
Your rights
What South Carolina protects you from.
- 01
Federal NSA: no balance billing for emergency + in-network-facility out-of-network services.
- 02
South Carolina DOI complaint portal at doi.sc.gov.
- 03
Hospitals must give good-faith estimates per federal NSA regulations.
- 04
South Carolina Hospital Association charity-care guidelines reduce eligible patient bills.
How Audra helps
From upload to appeal in 60 seconds.
01
Upload your bill
Drop a PDF, photo, or EOB into Audra. Encrypted in your browser before it leaves your device.
02
We check it against the law
Audra cross-references every line item against Federal No Surprises Act + South Carolina Department of Insurance rules, the federal No Surprises Act, your insurer's contracted rates, and CMS billing rules.
03
Get a ready-to-send appeal
We draft a letter citing the specific SC statute and any federal protections that apply, formatted for your insurer and provider. Print it, email it, or send it from inside Audra.
In-state coverage
Works for bills from any South Carolina provider.
Audra audits bills from every major hospital system in South Carolina, including:
If your bill comes from an out-of-state provider, Audra still works — federal protections apply nationwide.
If the provider won't budge
File a complaint with the SC Attorney General.
If your appeal letter doesn't resolve the bill within 30 days, escalate to the South Carolina Attorney General — Consumer Protection. They have authority to investigate billing complaints and, in some cases, subpoena provider records.
Official complaint portal
South Carolina Attorney General — Consumer Protection
www.scag.gov/consumer-protection/Stop paying what you don't owe.
Your first audit is free. After that, $30 per bill, or $15/mo for up to 25 audits/month.
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