§ 67:16:25:09

ARSD 67:16:25:09

Utilization review.

Effective Jul 1, 199016 SDR 234Source: 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 234, effective July 1, 1990. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.

Utilization review for transportation services may be conducted on the following levels:

(1) Computerized claims processing;
(2) Postpayment review; and
(3) Peer review.

Source: 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 234, effective July 1, 1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.