<html> <head> <title>Rule 20:06:27:02 Scope.</title> <META NAME="Keywords" Content="Administrative Rules 20:06:27:02"> <META NAME="Description" Content="Administrative Rules 20:06:27:02 Scope."> <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>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:06:27:02.&nbsp;&nbsp;Scope.</b> Except as otherwise specifically provided, the requirements of this chapter apply to issuers, health care providers, and institutional care practitioners. Nothing in this chapter prevents an issuer from requesting additional information that is not contained on the required forms to determine eligibility of the claim for payment if required under the terms of the policy, certificate, program, or plan the claimant is covered under. Nothing in this chapter prohibits an issuer, health care practitioner, or institutional care practitioner from using alternative forms or procedures for filing claims as specified in a written contract between the health care practitioner or institutional care practitioner and issuer. Nothing in this chapter applies to disability insurance.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 22 SDR 97, effective December 18, 1995.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-12-14">58-12-14.</A></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-12-12">58-12-12.</A></p> </div> </body> </html>