Clean claim defined

As used in §§ 58-12-19 to 58-12-21 , inclusive, the term, clean claim, means a claim for which there is no need for additional information to determine eligibility or adjudicate the claim. The term, clean claim, does not include a claim for payment of expenses incurred during a period of time for which premiums are delinquent, except to the extent otherwise required by law or a claim for which fraud is suspected. Source: SL 2001, ch 273 , § 1.