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ARSD 67:16:26 – Third-party Liability | Midpage
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Administrative Rules of South Dakota
Title 67
67:16
Chapter 67:16:26
ARSD 67:16:26
Third-party Liability
67:16:26:01
Definitions.
67:16:26:02
Responsibility for reporting of third-party liability -- Recipients.
67:16:26:03
Responsibility for reporting of third-party liability -- Applicants.
67:16:26:04
Provider notification of third-party liability.
67:16:26:05
Provider must collect from third-party source before submitting claim to department -- Medical assistance program payer of last resort -- Payment provision.
67:16:26:07
Department determination of possible existence of third-party source -- Claim denial.
67:16:26:07.01
Payment provisions when third-party source involves Medicare.
67:16:26:07.02
Certain claims eligible for payment before third-party benefits recovered -- Department to pursue reimbursement.
67:16:26:07.03
Provider may not pursue payment from recipient when third-party liability established.
67:16:26:08
Reimbursement from third-party collections.
67:16:26:09
Claims review.
67:16:26:10
Application of chapter.