South Dakota § 58-12-20 Time limits for processing clean claims--Time limit for additional information required.

South Dakota Statutes

§ 58-12-20 — Time limits for processing clean claims--Time limit for additional information required.

South Dakota·Title 58 INSURANCE·Ch. 58-11A INSURANCE CLAIMS AND BENEFITS

Each clean claim shall be paid to the person entitled thereto, denied, or settled within thirty calendar days after receipt by the carrier if submitted electronically and within forty - five calendar days after receipt by the carrier and if the claim is payable under the plan. If the resolution of an otherwise clean claim requires additional information, the carrier shall, within thirty calendar days after receipt of the claim, give the provider, policyholder, insured, or patient, as appropriate, a full explanation of what additional information is needed in order to determine eligibility or adjudicate the claim. The person receiving a request for additional information shall submit all additional information requested by the carrier within thirty calendar days after receipt of such reques

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Each clean claim shall be paid to the person entitled thereto, denied, or settled within thirty calendar days after receipt by the carrier if submitted electronically and within forty - five calendar days after receipt by the carrier and if the claim is payable under the plan. If the resolution of an otherwise clean claim requires additional information, the carrier shall, within thirty calendar days after receipt of the claim, give the provider, policyholder, insured, or patient, as appropriate, a full explanation of what additional information is needed in order to determine eligibility or adjudicate the claim. The person receiving a request for additional information shall submit all additional information requested by the carrier within thirty calendar days after receipt of such request.

South Dakota § 58-12-20 (Time limits for processing clean claims--Time limit for additional information required.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.