Utilization review for organ transplants may be conducted on the following levels:

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

Source: 16 SDR 234, effective July 2, 1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.