Wash. Rev. Code § 48.200.230
Current through Chapter 376 of the 2024 Regular Session
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.
RCW 48.200.230