Revised Code of Washington
Chapter 48.49 - Balance Billing Protection Act.
48.49.010 - Definitions.

RCW 48.49.010
Definitions.

The definitions in RCW 48.43.005 apply throughout this chapter unless the context clearly requires otherwise.

[ 2019 c 427 § 5.]

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Structure Revised Code of Washington

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.

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—Development of standard template language by commissioner.

48.49.070 - Hospital, ambulatory surgical facility, or behavioral health emergency services provider—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.

48.49.135 - Determining the adequacy of provider networks—Required considerations.

48.49.140 - Liberal construction of chapter to promote public interest.

48.49.160 - Allowed amounts paid to nonparticipating providers.

48.49.170 - Application of state and federal requirements—Applicability information access—Waivers prohibited.

48.49.180 - Commissioner authority—Enforcement—Penalties.

48.49.190 - Reports to legislature.

48.49.900 - Effective date—2019 c 427.