Modernizes overpayment recovery requirements for health care providers in Washington.

The bill revises the overpayment recovery requirements for health care providers in Washington. It mandates that carriers must request refunds in writing within specified timeframes, such as within 24 months for general claims and within nine months for mental health and substance use disorder services. If a provider does not contest the refund request within 30 days, the request is deemed accepted. The bill also clarifies that it does not apply to certain claims, such as those under Medicare or dental-only health carriers. The changes take effect on January 1, 2027.

Modernizes overpayment recovery requirements for health care providers in Washington.

The bill revises the overpayment recovery requirements for health care providers in Washington. It mandates that carriers must request refunds in writing within specified timeframes, such as within 24 months for general claims and within nine months for mental health and substance use disorder services. If a provider does not contest the refund request within 30 days, the request is deemed accepted. The bill also clarifies that it does not apply to certain claims, such as those under Medicare or dental-only health carriers. The changes take effect on January 1, 2027.