Utilization review for physician, laboratory, and X-ray services.
Effective Jul 2, 199016 SDR 234Source: SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 234, effective July 2, 1990. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.
Utilization review for physician, laboratory, and X-ray services may be provided on three levels:
- (1) Computerized claims processing;
- (2) Postpayment reviews; and
- (3) Peer review.
Source: SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 234, effective July 2, 1990.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.