South Dakota Statutes

§ 58-17H-45 — Urgent care requests--Notice of determination--Failure to submit necessary information as grounds for denial of certification.

South Dakota·Title 58 INSURANCE·Ch. 58-17E UTILIZATION REVIEW AND BENEFIT DETERMINATIONS

The health carrier shall notify the covered person or, if applicable, the covered person's authorized representative, of its determination with respect to the urgent care request as soon as possible, but in no event more than forty-eight hours after the earlier of:

(1)The health carrier's receipt of the requested specified information; or (2) The end of the period provided for the covered person or, if applicable, the covered person's authorized representative, to submit the requested specified information. If the covered person or the covered person's authorized representative fails to submit the information before the end of the period of the extension, as specified in § 58-17H-44 , the health carrier may deny the certification of the requested benefit. If the health carrier's det

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South Dakota § 58-17H-45 (Urgent care requests--Notice of determination--Failure to submit necessary information as grounds for denial of certification.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

SL 2011, ch 219, § 70.

Nearby Sections

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