SB5588 amends health carrier-provider contract rules in Washington, focusing on network adequacy and provider notifications.

SB5588 revises Washington's health carrier-provider contract rules, emphasizing the adequacy of provider networks and notifications to out-of-network providers. The commissioner must ensure networks include sufficient contracted providers for emergency medicine, anesthesiology, pathology, radiology, neonatology, surgery, hospitalist, intensivist, and diagnostic services. Carriers can use dispute resolution to determine provider payments and must notify out-of-network providers of alternate access delivery requests.

SB5588 amends health carrier-provider contract rules in Washington, focusing on network adequacy and provider notifications.

SB5588 revises Washington's health carrier-provider contract rules, emphasizing the adequacy of provider networks and notifications to out-of-network providers. The commissioner must ensure networks include sufficient contracted providers for emergency medicine, anesthesiology, pathology, radiology, neonatology, surgery, hospitalist, intensivist, and diagnostic services. Carriers can use dispute resolution to determine provider payments and must notify out-of-network providers of alternate access delivery requests.