Rule 20:06:53:29 Expedited review decision.
20:06:53:29. Expedited review
decision. As expeditiously as the covered person's medical condition or
circumstances requires, but in no event more than 72 hours after the date of
receipt of the request for an expedited external review that meets the reviewability
requirements set forth in § 20:06:53:12, the assigned independent review
a decision to uphold or reverse the adverse determination or final adverse
the covered person, if applicable, the covered person's authorized
representative, the health carrier, and the director of the decision. If the
notice provided was not in writing, within 48 hours after the date of providing
that notice, the assigned independent review organization shall:
written confirmation of the decision to the covered person, if applicable, the
covered person's authorized representative, the health carrier, and the
the information set forth in § 20:06:53:21.
Source: 37 SDR 48, effective September
22, 2010; 37 SDR 241, effective July 1, 2011.
General Authority: SDCL 58-17-87, 58-17H-49, 58-17I-16, 58-18-79.
Law Implemented: SDCL 58-17-87, 58-18-79.
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