South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:26 - Third-party liability
Section 67:16:26:09 - Claims review

(1) By reviewing all claims for services that could have been the result of an accident;

(2) By reviewing paid claims for assurance that any third-party liability has been collected;

(3) By requesting payment information from insurance companies to insure payment and coverage on claims; and

(4) By contacting providers to determine whether payment from a third-party liability source was received by the provider or recipient.