58-17I-4. Register of grievances required--Information to be compiled--Maintenance.
162 words·~1 min read·
/sd/title-58/chapter-58-17/58-17i-4·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Each health carrier shall maintain in a register written records to document all grievances received including the notices and claims associated with the grievances during a calendar year. A request for a first level review of a grievance involving an adverse determination shall be processed in compliance with §§ 58-17I-7 to 58-17I-11 , inclusive, and is required to be included in the register. For each grievance the register shall contain the following information:
(1)A general description of the reason for the grievance;
(2)The date received;
(3)The date of each review or, if applicable, review meeting;
(4)Resolution at each level of the grievance, if applicable;
(5)Date of resolution at each level, if applicable; and
(6)Name of the covered person for whom the grievance was filed.
The register shall be maintained in a manner that is reasonably clear and accessible to the director. A health carrier shall retain the register compiled for a calendar year for five years.