S.D. Admin. R. 67:16:26:07

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

Section 67:16:26:07 - Department determination of possible existence of third-party source - Claim denial

When a provider has requested payment of a claim and the department has documentable reason to believe that a possible third-party payment source exists, the department shall deny the claim unless it is covered under the provisions of § 67:16:26:07.02. Claims denied under this section may not be resubmitted until the conditions of § 67:16:26:05 have been met.

S.D. Admin. R. 67:16:26:07

7 SDR 23, effective 9/18/1980; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 16 SDR 226, effective 6/24/1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.