S-3198.3          _______________________________________________

 

                                 SENATE BILL 6037

                  _______________________________________________

 

State of Washington              52nd Legislature             1992 Regular Session

 

By Senators West, Rinehart, Rasmussen and Johnson

 

Read first time 01/13/92.  Referred to Committee on Health & Long‑Term Care.Requiring a uniform health care insurance claim form.


     AN ACT Relating to health care insurance claims; adding a new section to chapter 48.02 RCW; adding a new section to chapter 48.20 RCW; adding a new section to chapter 48.21 RCW; adding a new section to chapter 48.44 RCW; adding a new section to chapter 48.46 RCW; adding a new section to chapter 48.84 RCW; and creating a new section.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

 

     NEW SECTION.  Sec. 1.  A new section is added to chapter 48.02 RCW to read as follows:

     The commissioner, in consultation with the administrator of the health care authority, shall develop a uniform health care insurance claim form system in both paper and electronic formats to be used by all carriers licensed under chapters 48.20, 48.44, 48.46, and 48.84 RCW.  The commissioner may establish an advisory committee to assist in implementing the uniform claim form system, which shall be in place by January 1, 1993.  The commissioner shall make the system available to carriers after January 1, 1993, for optional use until January 1, 1994, when the system shall be made mandatory for all carriers.

 

     NEW SECTION.  Sec. 2.  A new section is added to chapter 48.20 RCW to read as follows:

     After January 1, 1994, the uniform health care insurance claim form developed by the commissioner under section 1 of this act shall be accepted for all disability insurance policies that provide coverage for hospital or medical expenses.

 

     NEW SECTION.  Sec. 3.  A new section is added to chapter 48.21 RCW to read as follows:

     After January 1, 1994, the uniform health care insurance claim form developed by the commissioner under section 1 of this act shall be accepted for all group disability insurance policies that provide coverage for hospital or medical expenses.

 

     NEW SECTION.  Sec. 4.  A new section is added to chapter 48.44 RCW to read as follows:

     After January 1, 1994, the uniform health care insurance claim form developed by the commissioner under section 1 of this act shall be accepted for all health care insurance contracts that provide coverage for hospital or medical expenses.

 

     NEW SECTION.  Sec. 5.  A new section is added to chapter 48.46 RCW to read as follows:

     After January 1, 1994, the uniform health care insurance claim form developed by the commissioner under section 1 of this act shall be accepted for all health maintenance agreements that provide coverage for hospital or medical expenses.

 

     NEW SECTION.  Sec. 6.  A new section is added to chapter 48.84 RCW to read as follows:

     After January 1, 1994, the uniform health care insurance claim form developed by the commissioner under section 1 of this act shall be accepted for all long-term care insurance policies and benefit contracts that provide coverage for hospital or medical expenses.

 

     NEW SECTION.  Sec. 7.      After January 1, 1994, the uniform health care insurance claim form developed by the commissioner under section 1 of this act shall be used by all health plans whether or not the plans are subject to the provisions of Title 48 RCW.  This includes state paid health care services provided through the basic health plan, the health care authority, the department of social and health services, and the department of labor and industries.  The commissioner shall aggressively pursue such federal regulatory changes as may be required to assure compliance with this section.