South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:26 - Third-party liability
Section 67:16:26:07 - Department determination of possible existence of third-party source - Claim denial
Universal Citation: SD Admin Rules 67:16:26:07
Current through Register Vol. 51, page 43, September 23, 2024
When a provider has requested payment of a claim and the department has documentable reason to believe that a possible third-party payment source exists, the department shall deny the claim unless it is covered under the provisions of § 67:16:26:07.02. Claims denied under this section may not be resubmitted until the conditions of § 67:16:26:05 have been met.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
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