South Dakota Administrative Rules
Title 47 - Department of Labor And Regulation
Article 47:03 - Workers' compensation
Chapter 47:03:05 - Medical fee schedules
Section 47:03:05:06 - Dispute resolution

Universal Citation: SD Admin Rules 47:03:05:06
Current through Register Vol. 51, page 43, September 23, 2024

A person or entity aggrieved by the action of an insurer regarding medical fees must exhaust the dispute resolution procedure of the insurer before filing a petition or otherwise seeking relief from the department. If the aggrieved party has exhausted the dispute resolution procedure of the insurer or the insurer has failed to resolve a dispute within 30 calendar days after the dispute was submitted to the insurer, the party may petition the department for a hearing on the matter in dispute pursuant to SDCL chapter 1-26. The petition for a hearing must be mailed within 30 calendar days after written notice of the final decision of the insurer is mailed to the aggrieved party.

General Authority: SDCL 62-7-8.

Law Implemented: SDCL 62-7-8.

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