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

58-17H-33. Information required to be provided to covered persons and prospective covered persons.

94 words·~1 min read·/sd/title-58/chapter-58-17/58-17h-33·

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In the certificate of coverage or member handbook provided to covered persons, a health carrier shall include a clear and comprehensive description of its utilization review procedures, including the procedures for obtaining review of adverse determinations, and a statement of rights and responsibilities of covered persons with respect to those procedures. A health carrier shall include a summary of its utilization review and benefit determination procedures in materials intended for prospective covered persons. A health carrier shall print on its membership cards a toll-free telephone number to call for utilization review and benefit decisions.
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