S.D. Admin. R. 20:41:14:05

Current through Register Vol. 50, page 162, June 24, 2024

Section 20:41:14:05 - Requests for peer review

A request for peer review may be submitted to the peer review committee by a patient, the patient's legal representative, the patient's insurer or health care providers, a third-party payor, the treating chiropractic physician, or a subsequent treating chiropractic physician. The peer review committee may not honor a request from a third-party payor unless the third-party payor submits with the request:

(1) A medical release signed by the patient whose records are sought for review or a court order authorizing the release of patient records for review; or

(2) The records sought to be reviewed, in which case only those records submitted by the third-party payor will be reviewed.

Peer review may not be allowed for any request made more than one year after the date of the final bill for chiropractic services is rendered in connection with the requested review or for services dating back more than three years from the date of such request.

S.D. Admin. R. 20:41:14:05

25 SDR 80, effective 12/6/1998.

General Authority: SDCL 36-5-4, 36-5-19.

Law Implemented: SDCL 36-5-4, 36-5-19.