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2021 Revised Code of Washington
Title 48 - Insurance
Chapter 48.49 - Balance Billing Protection Act.
- 48.49.003 - Findings—Intent—2019 c 427.
- 48.49.005 - Short title.
- 48.49.010 - Definitions.
- 48.49.020 - Balance billing—When prohibited—Carrier's duty to hold an enrollee harmless from balance billing under certain circumstances.
- 48.49.030 - Enrollee's obligation to pay for services—When satisfied—Determination of commercially reasonable payment amount through good faith negotiation between carrier and out-of-network provider or facility—Carrier's duties.
- 48.49.040 - Dispute resolution process—Determination of commercially reasonable payment amount.
- 48.49.050 - Commissioner's annual report on dispute resolution information regarding arbitration over commercially reasonable payment amounts.
- 48.49.060 - Notice of consumer rights concerning balance billing protection—Development of standard template language by commissioner.
- 48.49.070 - Hospital or ambulatory surgical facility—Requirement to provide certain information on website or upon consumer request—Requirement to provide carriers with nonemployed provider lists.
- 48.49.080 - Health care provider—Requirement to provide certain information on website or upon consumer request—Requirement to submit network status information to carriers.
- 48.49.090 - Carrier—Requirement to update website and provider directory—Requirement to provide enrollee with certain information.
- 48.49.100 - Pattern of unresolved violations—Enforcement action by department of health or appropriate disciplining authority.
- 48.49.110 - Rule-making authority.
- 48.49.120 - No application of chapter to health plans under chapter 74.09 RCW.
- 48.49.130 - Application of chapter to self-funded group health plans that elect to participate in balance billing protection provisions—Annual notice to commissioner.
- 48.49.140 - Liberal construction of chapter to promote public interest.
- 48.49.150 - Determining the adequacy of provider networks—Required considerations.
- 48.49.900 - Effective date—2019 c 427.
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