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Ex. AGY-ST-INSURANCE-BANKING-042 Order Primary source read

Emergency Order No. 20-06

Emergency Order requiring health carriers to hold enrollees harmless from balance billing for COVID-19 diagnostic testing by out-of-network laboratories

Mike Kreidler, Insurance Commissioner · Washington; Office of the Insurance Commissioner (Sector regulator)

The COVID Project

The record

Jurisdiction
Washington; Office of the Insurance Commissioner · Washington
Level
Sector regulator
Authority
RCW 48.02.060(4)
Issued
2020-06-01 June 1, 2020
Effective
2020-06-01
End
July 31, 2020 by its terms; extended under RCW 48.02.060(5) through September 5, 2021 (fourteenth extension, Ex. 045) and further (read as 2021-09-30)
In force
June 1, 2020 to Sept. 30, 2021
Quarters
2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Limitation types
Health care ordersOther
Addressees
  • all health carriers authorized or admitted to offer health plans or short-term limited duration medical plans in Washington
Functions reached
  • IN health carriers (claims payment, network contracting)
  • DX laboratories (industry 02) and CB payers
Collection
State insurance and banking regulators AGY-ST-INSURANCE-BANKING

Operative words

PURSUANT TO RCW 48.02.060(4), the Insurance Commissioner of the state of Washington ('Insurance Commissioner') orders all health carriers authorized or admitted to offer health plans or [short-term plans, as follows]: A. Regulated Entities must hold harmless Washington-resident enrollees from balance billing for COVID-19 diagnostic testing processed by in-state, out-of-network laboratories and out-of-state, out-of-network laboratories, when COVID-19 diagnostic testing is determined to be medically necessary by the enrollee's health care provider.

Enforcement

RCW 48.02.080; RCW 48.05.185

Notes

Recites the extension of Emergency Order 20-01 on May 1, 2020.