Prescription Drug
Pursuant to South Dakota Codified Law 58-17K-5, we have made our South Dakota pharmacy prescription drug file in a machine-readable format that includes negotiated rates with in-network pharmacies.
In-Network Providers
In compliance with Transparency in Coverage Rules, we have made our files in a machine-readable format that includes negotiated rates for in-network providers.
Out-of-Network Providers
In compliance with Transparency in Coverage Rules, we have made our files in a machine-readable format that includes historical allowed amounts and billed charges for out-of-network providers.
Out-Of-Area Providers
UnitedHealthcare creates and publishes the Machine-Readable Files on behalf of Avera Health Plans network used outside of the Avera Health Plans' service area for members who reside out of the service area, or who seek urgent or emergency care while traveling outside of the service area.