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Code · South Dakota · Title 58 · Chapter 58-17

58-17H-15. Director to hold health carrier responsible for utilization review performance of contractor.

65 words·~1 min read·/sd/title-58/chapter-58-17/58-17h-15·

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If a health carrier contracts to have a utilization review organization or other entity perform the utilization review functions required by this chapter, or applicable rules, the director shall hold the health carrier responsible for monitoring the activities of the utilization review organization or entity with which the health carrier contracts and for ensuring that the requirements of this chapter, and applicable rules, are met.
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