Standardized Policies and Procedures, Standard Data System

The WSMA supports a requirement that all basic health care benefit packages offered in Washington state incorporate standardized policies and procedures governing billing, payment, exclusions, limitations, formularies, prior authorization, appeals, and other administrative processes and policies common to the health insurance business. (Res C-12, A-11) (Reaffirmed A-21)

The WSMA supports a requirement that each health plan, public or private, offering a basic health care benefit package in Washington state use a standardized, interoperable data system for the administration of that package. (Res C-12, A-11) (Reaffirmed A-21)

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Abbreviations for House of Delegates report origination:

EC – Executive Committee; BT – Board of Trustees; CPA – Council on Professional Affairs; JC – Judicial Council; CHS – Community and Health Services