S.D. Admin. R. 67:16:02:07

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

Section 67:16:02:07 - Utilization review for physician, laboratory, and X-ray services

Utilization review for physician, laboratory, and X-ray services may be provided on three levels:

(1) Computerized claims processing;

(2) Postpayment reviews; and

(3) Peer review.

S.D. Admin. R. 67:16:02:07

SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 16 SDR 234, effective 7/2/1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.