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2020 Revised Code of Washington
Title 48 - Insurance
Chapter 48.200 - Health Care Benefit Managers.
48.200.230 Basis of finding of claim.
Universal Citation: WA Rev Code § 48.200.230 (2020)
RCW 48.200.230 Basis of finding of claim. (Effective January 1, 2022.)
An entity's finding that a claim was incorrectly presented or paid must be based on identified transactions and not based on probability sampling, extrapolation, or other means that project an error using the number of patients served who have a similar diagnosis or the number of similar prescriptions or refills for similar drugs.
[ 2014 c 213 ยง 5. Formerly RCW 19.340.050.]
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