Chapter 48.200 RCW

HEALTH CARE BENEFIT MANAGERS

Sections

HTMLPDF 48.200.010FindingsIntent.
HTMLPDF 48.200.020Definitions.
HTMLPDF 48.200.030Registration requirementsApplicationFeesRetention of transaction records.
HTMLPDF 48.200.040Contract requirementsWritten agreement describing rights and responsibilitiesFiling of contractsConfidentiality.
HTMLPDF 48.200.050Inquiries or complaintsViolations of chapterEnforcement actionsResponsibility of carriers and programs for compliance.
PHARMACY BENEFIT MANAGERS
HTMLPDF 48.200.210Definitions applicable to RCW 48.200.220 through 48.200.290.
HTMLPDF 48.200.220Auditing of claimsRequirementsProhibited practices.
HTMLPDF 48.200.230Basis of finding of claim.
HTMLPDF 48.200.240Contract with third partyProhibited practices.
HTMLPDF 48.200.250Evidence of validation of claim.
HTMLPDF 48.200.260Preliminary audit reportDispute or denial of claimFinal audit reportRecoupment of disputed funds.
HTMLPDF 48.200.270Application.
HTMLPDF 48.200.280Predetermination of reimbursement costsAppealsReview by commissioner.
HTMLPDF 48.200.290EnforcementDisputesCivil penalties.
HTMLPDF 48.200.300Service of process.
HTMLPDF 48.200.310Prohibitions and duties.
HTMLPDF 48.200.320Prohibitions on retaliation.
HTMLPDF 48.200.330ApplicationPlans governed by the federal employee retirement income security act.
HTMLPDF 48.200.900Rule making2020 c 240.
HTMLPDF 48.200.901Effective date2020 c 240.