The provider or the provider's representative must sign the claim as a certification of the truth and accuracy of the claim. The provider's name, not the name of the facility or business, must be signed using handwriting, typewriter, signature stamp, computer impulse, or other means utilized as a signature. Each claim must indicate the date the form was signed.

Source: 15 SDR 2, effective July 17, 1988; transferred from § 67:16:01:07.01, 17 SDR 4, effective July 16, 1990; 23 SDR 38, effective September 26, 1996.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.