Washington Administrative Code
2024 Archive

Chapter 284-43B WAC
Last Update: 11/27/24

BALANCE BILLING
PDF of Chapter Digest
WAC Sections
284-43B-010Definitions.
284-43B-015Coverage of emergency services.
284-43B-020Balance billing prohibition and consumer cost-sharing.
284-43B-025Balance billing prohibition and consumer cost-sharing for ground ambulance services.
284-43B-027Payments to nonparticipating ground ambulance services organizations.
284-43B-029Local governmental entity rate reporting to the insurance commissioner.
284-43B-030Out-of-network claim payment and placing a claim into dispute.
284-43B-032Applicable dispute resolution system.
284-43B-035Arbitration initiation and selection of arbitrator.
284-43B-037Arbitration proceedings.
284-43B-040Determining whether an enrollee's health plan is subject to the requirements of the act.
284-43B-050Notice of consumer rights and transparency.
284-43B-060Enforcement.
284-43B-070Self-funded group health plan opt in.
284-43B-075Severability.
284-43B-105Forms.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
284-43B-080Effective date. [Statutory Authority: RCW 48.02.060, 48.49.060, and 48.49.110. WSR 19-23-085, § 284-43B-080, filed 11/19/19, effective 12/20/19.] Repealed by WSR 23-01-110 (Matter R 2022-02), filed 12/19/22, effective 1/19/23. Statutory Authority: RCW 48.43.820, 48.49.180, 48.49.110, and 48.02.060.
284-43B-085Appendix A. [Statutory Authority: RCW 48.43.820, 48.49.180, 48.49.110, and 48.02.060. WSR 23-01-110 (Matter R 2022-02), § 284-43B-085, filed 12/19/22, effective 1/19/23. Statutory Authority: RCW 48.49.060 and 48.49.110. WSR 20-22-076, § 284-43B-085, filed 11/2/20, effective 12/3/20.] Repealed by WSR 24-24-065 (Matter R 2024-01), filed 11/27/24, effective 12/28/24. Statutory Authority: RCW 48.02.060, 48.49.100, 48.49.060, and 2024 c 218.
284-43B-090Appendix B. [Statutory Authority: RCW 48.43.820, 48.49.180, 48.49.110, and 48.02.060. WSR 23-01-110 (Matter R 2022-02), § 284-43B-090, filed 12/19/22, effective 1/19/23. Statutory Authority: RCW 48.49.060 and 48.49.110. WSR 20-22-076, § 284-43B-090, filed 11/2/20, effective 12/3/20.] Repealed by WSR 24-24-065 (Matter R 2024-01), filed 11/27/24, effective 12/28/24. Statutory Authority: RCW 48.02.060, 48.49.100, 48.49.060, and 2024 c 218.
284-43B-095Appendix C. [Statutory Authority: RCW 48.43.820, 48.49.180, 48.49.110, and 48.02.060. WSR 23-01-110 (Matter R 2022-02), § 284-43B-095, filed 12/19/22, effective 1/19/23.] Repealed by WSR 24-24-065 (Matter R 2024-01), filed 11/27/24, effective 12/28/24. Statutory Authority: RCW 48.02.060, 48.49.100, 48.49.060, and 2024 c 218.
284-43B-100Appendix D. [Statutory Authority: RCW 48.43.820, 48.49.180, 48.49.110, and 48.02.060. WSR 23-01-110 (Matter R 2022-02), § 284-43B-100, filed 12/19/22, effective 1/19/23.] Repealed by WSR 24-24-065 (Matter R 2024-01), filed 11/27/24, effective 12/28/24. Statutory Authority: RCW 48.02.060, 48.49.100, 48.49.060, and 2024 c 218.