Balance Billing Protection Act.

  1. Law
  2. Revised Code of Washington
  3. Insurance
  4. Balance Billing Protection Act.

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Section
48.49.003

Findings—Intent—2019 c 427.

Section
48.49.005

Short title.

Section
48.49.010

Definitions.

Section
48.49.020

Balance billing—When prohibited—Carrier's duty to hold an enrollee harmless from balance billing under certain circumstances.

Section
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.

Section
48.49.040

Dispute resolution process—Determination of commercially reasonable payment amount.

Section
48.49.050

Commissioner's annual report on dispute resolution information regarding arbitration over commercially reasonable payment amounts.

Section
48.49.060

Notice of consumer rights concerning balance billing protection—Development of standard template language by commissioner.

Section
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.

Section
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.

Section
48.49.090

Carrier—Requirement to update website and provider directory—Requirement to provide enrollee with certain information.

Section
48.49.100

Pattern of unresolved violations—Enforcement action by department of health or appropriate disciplining authority.

Section
48.49.110

Rule-making authority.

Section
48.49.120

No application of chapter to health plans under chapter 74.09 RCW.

Section
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.

Section
48.49.140

Liberal construction of chapter to promote public interest.

Section
48.49.150

Determining the adequacy of provider networks—Required considerations.

Section
48.49.900

Effective date—2019 c 427.