{"data":{"id":"us-sd/sdcl-58-17h-57","jurisdiction":"us-sd","citation":"SDCL § 58-17H-57","heading":"Utilization review organization or health carrier--Annual review--Report--Contents--Publication.","body":"A utilization review organization or health carrier shall conduct an annual review and submit the findings in a report to the Division of Insurance, at the time and in the manner directed by the division.\nThe report must contain the following information for the previous calendar year, aggregated for all health care services or items:\n(1) The number and percentage of urgent prior authorization requests that the utilization review organization or health carrier approved;\n(2) The number and percentage of urgent prior authorization requests that the utilization review organization or health carrier denied;\n(3) The number and percentage of nonurgent prior authorization requests that the utilization review organization or health carrier approved;\n(4) The number and percentage of nonurgent prior authorization requests that the utilization review organization or health carrier denied;\n(5) The average and median time that elapsed between the submission of a prior authorization request and a determination by the utilization review organization or health carrier; and\n(6) The average and median time that elapsed between the submission of an urgent prior authorization request and a determination by the utilization review organization or health carrier.\nThe division shall publish the report required by this section, on the division's website, within sixty days after receiving the report.","path":["TITLE 58. INSURANCE","CHAPTER 58-17H. UTILIZATION REVIEW AND BENEFIT DETERMINATIONS"],"source_url":"https://sdlegislature.gov/Statutes/58-17H-57","current_through":"2026-08-31","vintage":"","retrieved_at":"2026-09-03T15:18:57Z","sha256":"0ddb95d3866dbc46cd65ecbec2e86477697666671111a05390f578268193ece4","source_id":"us-sd","stale":true,"prev":"us-sd/sdcl-58-17h-56","next":"us-sd/sdcl-58-17h-58"},"notice":"GroundRules: Original legal text. Not legal advice."}