Bill > HB2683

This bill aims to improve how health insurance companies, known as health carriers, interact with healthcare providers and facilities by increasing transparency and efficiency. It mandates that health carriers must use a specific, pre-selected database for managing applications from healthcare providers seeking to join their networks, a process called credentialing, which involves verifying a provider's qualifications. The bill also sets stricter deadlines for health carriers to decide on these credentialing applications, requiring them to make a determination within 90 days of receiving a complete application, with an average decision time of 60 days, and further reducing this to 30 days by 2027. Additionally, it requires health carriers to provide all necessary billing and health plan coverage information, including details on patient eligibility, claim submission processes, payment policies, and prior authorization requirements, through a publicly accessible website without requiring a login, and to give providers at least 60 days' notice before any changes are made to these documents.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=2683&Year=2025&Initiative=false