Washington Code 48.200.230 – Basis of finding of claim
Current as of: 2023 | Check for updates
|
Other versions
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 § 5. Formerly RCW 19.340.050.]