ARSD 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.