Wash. Admin. Code § 284-170-320 - Issuer recordkeeping-Provider networks
(1) An issuer must make available to the
commissioner upon request its records, contracts, and agreements related to its
provider networks.
(a) Records to support
proof of good faith contracting efforts must be retained for seven
years.
(b) Signed contracts,
reimbursement agreements, and associated accounting records must be retained
for ten years after the contract is terminated.
(2) Beginning January 1, 2016, an issuer must
be able to provide to the commissioner upon request the following information
for a time period specified by the commissioner. These records must be retained
for a period of ten years:
(a) The number of
requests submitted for prior authorization for services by all providers and
facilities;
(b) The total number of
such requests processed; and
(c)
The total number of such requests denied.
Notes
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