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RCWs
>
Title 48
>
Chapter 48.200
Complete Chapter
HTML
PDF
Chapter
48.200
RCW
HEALTH CARE BENEFIT MANAGERS
Sections
HTML
PDF
48.200.010
Findings
—
Intent.
HTML
PDF
48.200.020
Definitions.
HTML
PDF
48.200.030
Registration requirements
—
Application
—
Fees
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Retention of transaction records.
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PDF
48.200.040
Contract requirements
—
Written agreement describing rights and responsibilities
—
Filing of contracts
—
Confidentiality.
HTML
PDF
48.200.050
Inquiries or complaints
—
Violations of chapter
—
Enforcement actions
—
Responsibility of carriers and programs for compliance.
PHARMACY BENEFIT MANAGERS
HTML
PDF
48.200.210
Definitions applicable to RCW
48.200.220
through
48.200.290
.
HTML
PDF
48.200.220
Auditing of claims
—
Requirements
—
Prohibited practices.
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48.200.230
Basis of finding of claim.
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PDF
48.200.240
Contract with third party
—
Prohibited practices.
HTML
PDF
48.200.250
Evidence of validation of claim.
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PDF
48.200.260
Preliminary audit report
—
Dispute or denial of claim
—
Final audit report
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Recoupment of disputed funds.
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48.200.270
Application.
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48.200.280
Predetermination of reimbursement costs
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Appeals
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Review by commissioner.
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48.200.290
Enforcement
—
Disputes
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Civil penalties.
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48.200.900
Rule making
—
2020 c 240.
HTML
PDF
48.200.901
Effective date
—
2020 c 240.
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