South Dakota Administrative Rules
Title 20 - PUBLIC SAFETY
Article 20:06 - INSURANCE
Chapter 20:06:48 - Health insurance risk pool
Section 20:06:48:08 - Denial of claim
Universal Citation: SD Admin Rules 20:06:48:08
Current through Register Vol. 50, page 114, March 25, 2024
A risk pool enrollee shall be notified in writing if the enrollee's claim for benefits is denied. The explanation of benefits (EOB) shall include the specific reason the claim was denied and the address for making an appeal.
General Authority: SDCL 58-17-124(6)(7).
Law Implemented: SDCL 58-17-124(6) )7).
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