58-17D-1. Definitions.
Terms used in this chapter mean:
(1)"Utilization review," a review of health care services provided or to be provided to an individual to assist in the determination of the nature of the injury or condition, or the appropriateness of the treatment provided or to be provided;
(2)"Utilization review organization," any entity that provides utilization review services as defined in this chapter.
Source: SL 2002, ch 231, ยง1.
Structure South Dakota Codified Laws
Chapter 17D - Standards For Utilization Review For Property And Casualty Insurers
Section 58-17D-1 - Definitions.
Section 58-17D-4 - Utilization review to be administered by qualified professional.
Section 58-17D-5 - Certain basis for fees prohibited.
Section 58-17D-6 - Insurer denying policyholder's claim to provide for reconsideration.