Wash. Admin. Code § 296-30-087

Current through Register Vol. 24-13, July 1, 2024

Section 296-30-087 - Can a victim be billed for expenses related to their claim?

(1) If claim costs are under the maximum benefit, the claimant should not pay any expenses relating to an allowed claim. Providers must bill the claimant's public or private insurance first, and then bill the department.

EXCEPTION: A provider may require the claimant to pay for treatment if the claimant's eligibility is pending. If benefits are authorized, and payable by the department, the provider must refund the claimant in full.

(2) If claim costs exceed the maximum benefit, the claimant is responsible for expenses.

Wash. Admin. Code § 296-30-087

Amended by WSR 15-12-066, Filed 5/29/2015, effective 7/1/2015

Statutory Authority: Chapter 7.68 RCW. 11-22-054, § 296-30-087, filed 10/31/11, effective 12/1/11.