S.D. Admin. R. 67:16:03:14

Current through Register Vol. 51, page 57, November 12, 2024

Section 67:16:03:14 - Claim requirements

A claim for services provided under this chapter must be submitted at the hospital's usual and customary charge to the general public and must comply with the informational requirements established in the Official UB-04 Data Specifications Manual 2023.

Claims for outpatient laboratory services must contain the applicable procedure codes from the Current Procedural Terminology adopted in § 67:16:01:25.

S.D. Admin. R. 67:16:03:14

16 SDR 235, effective 7/5/1990; 17 SDR 4, effective 7/16/1990; 17 SDR 180, effective 5/27/1991; 18 SDR 78, effective 11/4/1991; 19 SDR 26, effective 8/23/1992; 19 SDR 165, effective 5/3/1993; 20 SDR 149, effective 3/21/1994; 21 SDR 183, effective 4/30/1995; 22 SDR 143, effective 5/9/1996; 23 SDR 232, effective 7/10/1997; 24 SDR 86, effective 1/1/1998; 24 SDR 144, effective 4/30/1998; 25 SDR 116, effective 3/24/1999; 26 SDR 157, effective 6/7/2000; 28 SDR 1, effective 7/18/2001; 31 SDR 39, effective 9/29/2004; 42 SDR 51, effective 10/13/2015; 47 SDR 038, effective 10/6/2020; 49 SDR 021, effective 9/12/2022

General Authority: SDCL 28-6-1(4).

Law Implemented: SDCL 28-6-1.

Official UB-04 Data Specifications Manual 2023, https://www.nubc.org/ub-04-products; $165.00. Claims, ch 67:16:35.