Chapter 48.200 RCW

HEALTH CARE BENEFIT MANAGERS

Sections

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