ARSD 20:06:53:15

ARSD 20:06:53:15. Independence of review decision

Last amended: 2011Year: 2026Length: 50 wordsOfficial source

Cite as S.D. Admin. R. 20:06:53:15

In reaching a decision, the assigned independent review organization is not bound by any decisions or conclusions reached during the health carrier's utilization review process as set forth in SDCL 58-17H-1 to 58-17H-49, inclusive, or the health carrier's internal grievance process as set forth in SDCL 58-17I-1 to 58-17I-16, inclusive.
ARSD 20:06:53:15: ARSD 20:06:53:15. Independence of review decision | Justis AI