Balanced Billing – Guide to Arbitration

The WA Balance Billing Protection Act addresses out of network billing and went into effect Jan. 1, 2020. It applies to all state regulated health plans. Members should be aware of the process of arbitration (if the insurer and provider or facility cannot agree on the amount for the service). Recently the OIC hosted a webinar outlining how arbitration works and the timeline. Please , see the links below.

• Link to webinar on arbitration https://vimeo.com/428297184
• More information regarding the BBPA can be found in WSHA’s Bulletin and on the OIC Website.
• Washington Surprise Billing Protection Act
• OIC Slide Deck on Arbitration