19.340.050 Basis of finding of claim.

WA Rev Code § 19.340.050 (2019) (N/A)
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RCW 19.340.050 Basis of finding of claim.

An entity's finding that a claim was incorrectly presented or paid must be based on identified transactions and not based on probability sampling, extrapolation, or other means that project an error using the number of patients served who have a similar diagnosis or the number of similar prescriptions or refills for similar drugs.

[ 2014 c 213 § 5.]