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SUBSTITUTE
HOUSE BILL 1508
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Passed
Legislature - 1993 Regular Session
State
of Washington 53rd Legislature 1993
Regular Session
By
Read
first time 02/17/93.
Regulating prescription claims for insurance coverage that were
initially approved over the telephone or by other means.
AN ACT Relating to prescription claims insurance
coverage; 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
chapter to 48.46 RCW; creating a new section; and declaring an emergency.
BE
IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION. Sec. 1.
The legislature finds that many health care insurance entities are initially
approving claims as eligible under an identified program, over the telephone,
but denying those same claims when they are submitted for payment. The
legislature finds this to be an untenable situation for the providers.
NEW SECTION. Sec. 2. A
new section is added to chapter 48.20 RCW to read as follows:
Disability insurance companies who through an
authorized representative have first approved, by any means, an individual
prescription claim as eligible may not reject that claim at some later date.
Pharmacists or drug dispensing outlets who obtain preapproval of claims shall
keep a written record of the preapproval that consists of identification by
name and telephone number of the person who approved the claim.
NEW SECTION. Sec. 3. A
new section is added to chapter 48.21 RCW to read as follows:
Group disability insurance companies who
through an authorized representative have first approved, by any means, an
individual prescription claim as eligible may not reject that claim at some
later date. Pharmacists or drug dispensing outlets who obtain preapproval of
claims shall keep a written record of the preapproval that consists of
identification by name and telephone number of the person who approved the
claim.
NEW SECTION. Sec. 4. A
new section is added to chapter 48.44 RCW to read as follows:
Health care service contractors who through an
authorized representative have first approved, by any means, an individual
prescription claim as eligible may not reject that claim at some later date.
Pharmacists or drug dispensing outlets who obtain preapproval of claims shall
keep a written record of the preapproval that consists of identification by
name and telephone number of the person who approved the claim.
NEW SECTION. Sec. 5. A
new section is added to chapter 48.46 RCW to read as follows:
Health maintenance organizations who through an
authorized representative have first approved, by any means, an individual
prescription claim as eligible may not reject that claim at some later date.
Pharmacists or drug dispensing outlets who obtain preapproval of claims shall
keep a written record of the preapproval that consists of identification by
name and telephone number of the person who approved the claim.
NEW SECTION. Sec. 6.
This act is necessary for the immediate preservation of the public peace,
health, or safety, or support of the state government and its existing public
institutions, and shall take effect immediately.
