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

58-17H-26. Independence and impartiality required for utilization review.

80 words·~1 min read·/sd/title-58/chapter-58-17/58-17h-26·

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In conducting utilization review, the health carrier shall ensure that the review is conducted in a manner to ensure the independence and impartiality of the individuals involved in making the utilization review or benefit determination.
In ensuring the independence and impartially of individuals involved in making the utilization review or benefit determination, no health carrier may make decisions regarding hiring, compensation, termination, promotion, or other similar matters based upon the likelihood that the individual will support the denial of benefits.
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