58-12-19. Clean claim defined.
72 words·~1 min read·
/sd/title-58/chapter-58-12/58-12-19·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
As used in §§ 58-12-19 to 58-12-21 , inclusive, the term, clean claim, means a claim for which there is no need for additional information to determine eligibility or adjudicate the claim. The term, clean claim, does not include a claim for payment of expenses incurred during a period of time for which premiums are delinquent, except to the extent otherwise required by law or a claim for which fraud is suspected.