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2020 South Dakota Codified Laws
Title 58 - Insurance
Chapter 17D - Standards For Utilization Review For Property And Casualty Insurers
Section 58-17D-4 - Utilization review to be administered by qualified professional.
Universal Citation: SD Codified L § 58-17D-4 (2020)
58-17D-4. Utilization review to be administered by qualified professional.
Any utilization review pursuant to this chapter shall be administered by a qualified licensed health care professional. Any adverse determination shall be evaluated by an appropriately licensed and clinically qualified health care professional. Any utilization review evaluation shall use generally accepted standards for treatment of the illness, injury, or condition reviewed. Any utilization review opinion shall be signed by the professional who performed the review.
Source: SL 2002, ch 231, ยง4.
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