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20:06:53External And Internal Review

Chapter · Administrative Rules of South Dakota · View on sdlegislature.gov ↗

Rulemaking activity

Division of Insurance Administrative RulesEffective

Sections (80)

20:06:53:01Definitions.
20:06:53:02Applicability.
20:06:53:03Notice
20:06:53:04Content of notices.
20:06:53:05Review procedures
20:06:53:06Request for
20:06:53:07Exhaustion of
20:06:53:08When exhaustion of
20:06:53:09Request for
20:06:53:10Determination of
20:06:53:11Waiver of
20:06:53:12Standard external
20:06:53:13Notification
20:06:53:14Determination by
20:06:53:15Independence of
20:06:53:16Health carrier
20:06:53:17Effect of failure
20:06:53:18Independent review
20:06:53:19Carrier
20:06:53:20Information to be
20:06:53:21Independent review
20:06:53:22Director assignment
20:06:53:23Expedited external
20:06:53:24Notifications upon
20:06:53:25Director's
20:06:53:26Director assignment
20:06:53:27Independent review
20:06:53:28Information to be
20:06:53:29Expedited review
20:06:53:30Health carrier
20:06:53:31Assignment of
20:06:53:32Applicability of
20:06:53:33External review of
20:06:53:34Notifications upon
20:06:53:35Director's
20:06:53:36Health carrier
20:06:53:37Health carrier
20:06:53:38Director's
20:06:53:39Health carrier
20:06:53:40Independent review
20:06:53:41Independent review
20:06:53:42Records provided to
20:06:53:43Review of
20:06:53:44Reconsideration by
20:06:53:45Clinical
20:06:53:46Expedited review
20:06:53:47Clinical review
20:06:53:48Independent review
20:06:53:49Expedited reviews
20:06:53:50Decision by
20:06:53:51Notice of written
20:06:53:52Health carrier
20:06:53:53Criteria for
20:06:53:54Binding nature of
20:06:53:55Approval of
20:06:53:56Continuation
20:06:53:57Minimum
20:06:53:58Requirements for
20:06:53:59Subsidiaries of or
20:06:53:60Independence of
20:06:53:61Nationally
20:06:53:62Unbiased
20:06:53:63Hold harmless for
20:06:53:64External review
20:06:53:65Independent review
20:06:53:66Funding of external review.
20:06:53:67Disclosure
20:06:53:68Adverse benefit
20:06:53:69Urgent
20:06:53:70Additional
20:06:53:71Avoiding
20:06:53:72Notice to enrollee.
20:06:53:73Failure to comply
20:06:53:74Continued
20:06:53:75One
20:06:53:76Record
20:06:53:77Applicability.
20:06:53:78Strictly adhere --
20:06:53:79Written explanation
20:06:53:80Procedure when