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The South Dakota Independent Review Organization license

Independent Review Organization

Decides the appeal when a health carrier says no and the member will not accept it. South Dakota certifies it, and what it is certifying is independence rather than expertise.

Course

None

This license has no pre-licensing course route.

Ways in

1

There is no state exam for this license.

Exam

n/a

Not required on any of the routes below.

Every way to qualify

  1. Route 1 Apply for certification

    No state exam for this license

    The certification

    • An independent review organization certification under SDCL chapter 58-17I, Grievance Procedure. The Division publishes a certification application requirement checklist and an additional information page.

    and the qualification

    • There is no examination and no course. The certification turns on the organization's independence from the carrier whose decision it is reviewing, and on its accreditation.

    SDCL chapter 58-17I. South Dakota licenses both halves of the argument, the utilization review organization that denies the care and the independent review organization that reviews the denial, which Nebraska also does and few others.

    Read at sdlegislature.gov on 2026-08-20

No national seller sells a course for this license. Aceable does not sell South Dakota at all. There is no examination and no course. The certification turns on independence from the carrier being reviewed.