S.D. Admin. R. 67:16:35:14
Current through Register Vol. 51, page 57, November 12, 2024
The provider must reconcile the remittance advice with the patient's records. The department shall send a warrant with the remittance advice when the amount of a check is indicated on the remittance advice. The provider must retain the remittance advice according to § 67:16:34:05. Claims to be resubmitted for payment must meet the requirements of § 67:16:35:15.
When the department denies or pends a claim, the remittance advice shall contain the specific reason the claim was denied or pended.
S.D. Admin. R. 67:16:35:14
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
Pended claims, § 67:16:35:12.