Section 58-17C-98 - Decision by voluntary review panel--Required contents. - South-dakota Statutes

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58-17C-98. Decision by voluntary review panel--Required contents. A decision issued pursuant to §§ 58-17C-96 and 58-17C-97 shall include:
(1) The titles and qualifying credentials of the members of the review panel;
(2) A statement of the review panel's understanding of the nature of the grievance and all pertinent facts;
(3) The rationale for the review panel's decision;
(4) A reference to evidence or documentation considered by the review panel in making that decision;
(5) In cases concerning a grievance involving an adverse determination, the instructions for requesting a written statement of the clinical rationale, including the clinical review criteria used to make the determination; and
(6) Notice of the covered person's right to contact the Division of Insurance for assistance at any time, including the telephone number and address of the Division of Insurance.

Source: SL 2003, ch 250, § 49.

State Codes and Statutes

Statutes > South-dakota > Title-58 > Chapter-17c > Statute-58-17c-98

58-17C-98. Decision by voluntary review panel--Required contents. A decision issued pursuant to §§ 58-17C-96 and 58-17C-97 shall include:
(1) The titles and qualifying credentials of the members of the review panel;
(2) A statement of the review panel's understanding of the nature of the grievance and all pertinent facts;
(3) The rationale for the review panel's decision;
(4) A reference to evidence or documentation considered by the review panel in making that decision;
(5) In cases concerning a grievance involving an adverse determination, the instructions for requesting a written statement of the clinical rationale, including the clinical review criteria used to make the determination; and
(6) Notice of the covered person's right to contact the Division of Insurance for assistance at any time, including the telephone number and address of the Division of Insurance.

Source: SL 2003, ch 250, § 49.

State Codes and Statutes

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State Codes and Statutes

Statutes > South-dakota > Title-58 > Chapter-17c > Statute-58-17c-98

58-17C-98. Decision by voluntary review panel--Required contents. A decision issued pursuant to §§ 58-17C-96 and 58-17C-97 shall include:
(1) The titles and qualifying credentials of the members of the review panel;
(2) A statement of the review panel's understanding of the nature of the grievance and all pertinent facts;
(3) The rationale for the review panel's decision;
(4) A reference to evidence or documentation considered by the review panel in making that decision;
(5) In cases concerning a grievance involving an adverse determination, the instructions for requesting a written statement of the clinical rationale, including the clinical review criteria used to make the determination; and
(6) Notice of the covered person's right to contact the Division of Insurance for assistance at any time, including the telephone number and address of the Division of Insurance.

Source: SL 2003, ch 250, § 49.