S.D. Admin. R. 67:16:26:09

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

Section 67:16:26:09 - Claims review

The department may conduct a claims review for third-party liability in the following manner:

(1) By reviewing all claims for services that could have been the result of an accident;

(2) By reviewing paid claims for assurance that any third-party liability has been collected;

(3) By requesting payment information from insurance companies to insure payment and coverage on claims; and

(4) By contacting providers to determine whether payment from a third-party liability source was received by the provider or recipient.

S.D. Admin. R. 67:16:26:09

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.