S.D. Admin. R. 20:06:48:08

Current through Register Vol. 51, page 67, December 16, 2024

Section 20:06:48:08 - Denial of claim

A risk pool enrollee shall be notified in writing if the enrollee's claim for benefits is denied. The explanation of benefits (EOB) shall include the specific reason the claim was denied and the address for making an appeal.

S.D. Admin. R. 20:06:48:08

30 SDR 51, effective 10/28/2003.

General Authority: SDCL 58-17-124(6)(7).

Law Implemented: SDCL 58-17-124(6))7).