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.

Source: 37 SDR 48, effective September 22, 2010; 37 SDR 241, effective July 1, 2011.

General Authority: SDCL 58-17-87 , 58-17H-49 , 58-17I-16 , 58-18-79.

Law Implemented: SDCL 58-17-87 , 58-18-79.