Section 58-17C-80 - Register of grievances required--Information to be compiled--Maintenance. - South-dakota Statutes

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58-17C-80. Register of grievances required--Information to be compiled--Maintenance. A health carrier shall maintain in a register written records to document all grievances received during a calendar year. A request for a first level review of a grievance involving an adverse determination shall be processed in compliance with §§ 58-17C-83 to 58-17C-86, inclusive, but is not required to be included in the register. A request for an additional voluntary review of a grievance involving an adverse determination that may be conducted pursuant to §§ 58-17C-92 to 58-17C-98, inclusive, shall be included in the register. For each grievance the register shall contain, at a minimum, 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.

Source: SL 2003, ch 250, § 31.

State Codes and Statutes

Statutes > South-dakota > Title-58 > Chapter-17c > Statute-58-17c-80

58-17C-80. Register of grievances required--Information to be compiled--Maintenance. A health carrier shall maintain in a register written records to document all grievances received during a calendar year. A request for a first level review of a grievance involving an adverse determination shall be processed in compliance with §§ 58-17C-83 to 58-17C-86, inclusive, but is not required to be included in the register. A request for an additional voluntary review of a grievance involving an adverse determination that may be conducted pursuant to §§ 58-17C-92 to 58-17C-98, inclusive, shall be included in the register. For each grievance the register shall contain, at a minimum, 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.

Source: SL 2003, ch 250, § 31.

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State Codes and Statutes

Statutes > South-dakota > Title-58 > Chapter-17c > Statute-58-17c-80

58-17C-80. Register of grievances required--Information to be compiled--Maintenance. A health carrier shall maintain in a register written records to document all grievances received during a calendar year. A request for a first level review of a grievance involving an adverse determination shall be processed in compliance with §§ 58-17C-83 to 58-17C-86, inclusive, but is not required to be included in the register. A request for an additional voluntary review of a grievance involving an adverse determination that may be conducted pursuant to §§ 58-17C-92 to 58-17C-98, inclusive, shall be included in the register. For each grievance the register shall contain, at a minimum, 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.

Source: SL 2003, ch 250, § 31.