Title 48 Insurance 48.43.730. Carrier must file provider contracts and compensation agreements with commissioner — Approval or disapproval — Confidentiality — Hearings — Rules — Definitions., Rev. Code Wash. (ARCW) § 48.43.730

Summary

(1) For the purposes of this section:

(a) “Carrier” means a:

(i) Health carrier as defined in RCW 48.43.005; and

(ii) Limited health care service contractor that offers limited health care service as defined in RCW 48.44.035.

(b) “Provider” means:

(i) A health care provider as defined in RCW 48.43.005;

(ii) A participating provider as defined in RCW 48.44.010;

(iii) A health care facility, as defined in RCW 48.43.005; and

(iv) Intermediaries that have agreed in writing with a carrier to provide access to providers under this subsection (1)(b) who render covered services to enrollees of a carrier.

(c) “Provider compensation agreement” means any written agreement that includes specific information about payment methodology, payment rates, and other terms that determine the remuneration a carrier will pay to a provider.

(d) “Provider contract” means a written contract between a carrier and a provider for any health care services rendered to an enrollee.

(2) A carrier must file all provider contracts and ...