S.D. Admin. R. 20:06:53:16

Current through Register Vol. 51, page 71, January 6, 2025

Section 20:06:53:16 - Health carrier required to provide information

Within five business days after the date of receipt of the notice provided pursuant to § 20:06:53:14, the health carrier or its designee utilization review organization shall provide to the assigned independent review organization any documents and any information considered in making the adverse determination or final adverse determination.

S.D. Admin. R. 20:06:53:16

37 SDR 48, effective 9/22/2010; 37 SDR 241, effective 7/1/2011.

General Authority: SDCL 58-17-87, 58-17H-49, 58-17I-16, 58-18-79.

Law Implemented: SDCL 58-17-87, 58-18-79.