The department may conduct a claims review for third-party liability in the following manner:
- (1) By reviewing all claims for services that could have been the result of an accident;
- (2) By reviewing paid claims for assurance that any third-party liability has been collected;
- (3) By requesting payment information from insurance companies to insure payment and coverage on claims; and
- (4) By contacting providers to determine whether payment from a third-party liability source was received by the provider or recipient.
Source: 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 226, effective June 24, 1990.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.