§ 48.200.010 Findings — Intent
§ 48.200.020 Definitions
§ 48.200.030 Registration requirements — Application — Fees — Retention of transaction records
§ 48.200.040 Contract requirements — Written agreement describing rights and responsibilities — Filing of contracts — Confidentiality
§ 48.200.050 Inquiries or complaints — Violations of chapter — Enforcement actions — Responsibility of carriers and programs for compliance
§ 48.200.210 Definitions applicable to RCW 48.200.220 through 48.200.290
§ 48.200.220 Auditing of claims — Requirements — Prohibited practices
§ 48.200.230 Basis of finding of claim
§ 48.200.240 Contract with third party — Prohibited practices
§ 48.200.250 Evidence of validation of claim
§ 48.200.260 Preliminary audit report — Dispute or denial of claim — Final audit report — Recoupment of disputed funds
§ 48.200.270 Application
§ 48.200.280 Predetermination of reimbursement costs — Appeals — Review by commissioner
§ 48.200.290 Enforcement — Disputes — Civil penalties
§ 48.200.900 Rule making — 2020 c 240
§ 48.200.901 Effective date — 2020 c 240

Terms Used In Washington Code > Chapter 48.200 - Health care benefit managers

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • person: may be construed to include the United States, this state, or any state or territory, or any public or private corporation or limited liability company, as well as an individual. See Washington Code 1.16.080
  • Probation: A sentencing alternative to imprisonment in which the court releases convicted defendants under supervision as long as certain conditions are observed.
  • Subpoena: A command to a witness to appear and give testimony.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Uphold: The decision of an appellate court not to reverse a lower court decision.