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Section 38-59-10. Proof of loss forms required to be furnished. - When an insurer under an insurance policy requires a written...
Section 38-59-20. Improper claim practices. - Any of the following acts by an insurer doing accident...
Section 38-59-25. Coverage decisions not constituting practice of medicine. - A determination of medical necessity of a decision affecting the...
Section 38-59-30. Notice and hearing by director or designee; penalties. - If, after due notice and hearing, the director or his...
Section 38-59-40. Liability for attorneys' fees where insurer has refused to pay claim. - (1) In the event of a claim, loss, or damage...
Section 38-59-50. Payment or settlement of benefits in merchandise or services prohibited. - It is unlawful for an insurer to make payment or...
Section 38-59-200. Citation of article. - This article may be cited as the "South Carolina Health...
Section 38-59-210. Definitions. - As used in this article: (1) "Insurer" means an insurance...
Section 38-59-220. Requesting fee schedule from insurer; confidentiality. - (A) Within six months of the effective date of this...
Section 38-59-230. Time frame for payment of clean claims; acknowledging receipt of claim; processing of electronic claims by billing service. - (A) An insurer shall direct the issuance of a check...
Section 38-59-240. Interest on payments later than applicable period; exceptions. - (A) For each clean claim with respect to which an...
Section 38-59-250. Initiation of overpayment recovery efforts. - (A)(1) An insurer shall initiate any overpayment recovery efforts by...
Section 38-59-260. Application of requirements of article. - The requirements of this article do not apply to claims...
Section 38-59-270. Enforcement; cease and desist orders; penalty; private right of action. - The Department of Insurance shall enforce the provisions of this...