Chapter 48.49 - Balance Billing Protection Act.

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 web site or upon consumer request—Requirement to provide carriers with nonemployed provider lists.
48.49.080 Health care provider—Requirement to provide certain information on web site or upon consumer request—Requirement to submit network status information to carriers.
48.49.090 Carrier—Requirement to update web site 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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