<html> <head> <title>Rule 67:16:26:07.03 Provider may not pursue payment from recipient when third-party liability established.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:26:07.03"> <META NAME="Description" Content="Administrative Rules 67:16:26:07.03 Provider may not pursue payment from recipient when third-party liability established."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:26:07.03.&nbsp;&nbsp;Provider may not pursue payment from recipient when third-party liability established.</b> When third-party liability has been established and the amount of the third-party liability equals or exceeds the amount payable under the medical services program, the provider may not seek to collect any payment amount for that service from the recipient, any financially responsible relative, or any legal representative. The provider must pursue collection from the third-party payment source.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 16 SDR 226, effective June 24, 1990.</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html>