S.D. Admin. R. 20:06:53:27

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

Section 20:06:53:27 - Independent review organization decision for expedited reviews

In reaching a decision in accordance with §§ 20:06:53:29 and 20:06:53:30, the assigned independent review organization is not bound by any decisions or conclusions reached during the health carrier's utilization review process as set forth in SDCL 58-17H-1 to 58-17H-49, inclusive, or the health carrier's internal grievance process as set forth in SDCL 58-17I-1 to 58-17I-16, inclusive.

S.D. Admin. R. 20:06:53:27

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.