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Wash. rev. code § 43.70.235

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Health care disputes--Certifying independent review organizations--Application--Restrictions--Maximum fee schedule for conducting reviews—Rules

The Department of Health (“department”) must create rules for certifying organizations to conduct independent reviews of health care disputes regarding an insurer’s decision to deny payment for health services. The rules must address issues such as the qualifications of providers performing review functions, conflicts of interest, and the time period for performing the review. The rules must also require the organization to keep any medical records obtained during the review process confidential.

Related Laws: Wash. Rev. Code § 48.43.535

 


Current as of June 2015