<html> <head> <title>Rule 20:06:39:30 Usual, customary, and reasonable charges for standard and basic plans.</title> <META NAME="Keywords" Content="Administrative Rules 20:06:39:30"> <META NAME="Description" Content="Administrative Rules 20:06:39:30 Usual, customary, and reasonable charges for standard and basic plans."> <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>20:06:39:30.&nbsp;&nbsp;Usual, customary, and reasonable charges for standard and basic plans.</b> For any claim for which the usual, customary, and reasonable policy or contract provision is used, the eligible benefits must be paid at no less than the eightieth percentile of the usual, customary, and reasonable amount for the standard and basic plans. Benefits obtained from network providers may not use the usual, customary and reasonable provisions.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 27 SDR 69, effective January 15, 2001.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=58-17-87">58-17-87.</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=58-17-85">58-17-85.</A></p> </div> </body> </html>