20:06:39:30Usual, customary, and reasonable charges for
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Rulemaking activity
standard and basic plans. For any claim for which the usual, customary, and reasonable policy or contract provision is used, the eligible benefits must be paid at no less than the eightieth percentile of the usual, customary, and reasonable amount for the standard and basic plans. Benefits obtained from network providers may not use the usual, customary and reasonable provisions.
Source: 27 SDR 69, effective January 15, 2001.
General Authority
- SDCL 58-17-87 ↗Amended by HB1001 (2021) — correct technical errors in statutory cross-references regarding insurance.Amended by HB1012 (2020) — correct technical errors in statutory cross-references.