Section 58-17C-74 - Insufficient information for determination of prospective urgent carerequests. - South-dakota Statutes

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58-17C-74. Insufficient information for determination of prospective urgent care requests. If the benefit request involves a prospective review urgent care request, the provisions of § 58-17C-73 apply only in the case of a failure that:
(1) Is a communication by a covered person or, if applicable, the covered person's authorized representative that is received by a person or organizational unit of the health carrier responsible for handling benefit matters; and
(2) Is a communication that refers to a specific covered person, a specific medical condition or symptom, and a specific health care service, treatment, or provider for which approval is being requested.

Source: SL 2003, ch 250, § 19.

State Codes and Statutes

Statutes > South-dakota > Title-58 > Chapter-17c > Statute-58-17c-74

58-17C-74. Insufficient information for determination of prospective urgent care requests. If the benefit request involves a prospective review urgent care request, the provisions of § 58-17C-73 apply only in the case of a failure that:
(1) Is a communication by a covered person or, if applicable, the covered person's authorized representative that is received by a person or organizational unit of the health carrier responsible for handling benefit matters; and
(2) Is a communication that refers to a specific covered person, a specific medical condition or symptom, and a specific health care service, treatment, or provider for which approval is being requested.

Source: SL 2003, ch 250, § 19.

State Codes and Statutes

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State Codes and Statutes

Statutes > South-dakota > Title-58 > Chapter-17c > Statute-58-17c-74

58-17C-74. Insufficient information for determination of prospective urgent care requests. If the benefit request involves a prospective review urgent care request, the provisions of § 58-17C-73 apply only in the case of a failure that:
(1) Is a communication by a covered person or, if applicable, the covered person's authorized representative that is received by a person or organizational unit of the health carrier responsible for handling benefit matters; and
(2) Is a communication that refers to a specific covered person, a specific medical condition or symptom, and a specific health care service, treatment, or provider for which approval is being requested.

Source: SL 2003, ch 250, § 19.