Washington Code|Chapter 48.49 - Balance billing protection act.

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.

For full print and download access, please subscribe at https://www.trellis.law/.

Please wait a moment while we load this page.