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

58-17H-22. Health carrier oversight of delegated activities--Requirements.

71 words·~1 min read·/sd/title-58/chapter-58-17/58-17h-22·

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If a health carrier delegates any utilization review activities to a utilization review organization, the health carrier shall maintain adequate oversight, which shall include:
(1)A written description of the utilization review organization's activities and responsibilities, including reporting requirements;
(2)Evidence of formal approval of the utilization review organization program by the health carrier; and
(3)A process by which the health carrier evaluates the performance of the utilization review organization.
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