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After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.
In early March 2020, coronavirus cases within Washington state grew along with the rest of the country. Washington State Department of Health officials requested, from the federal government's Strategic National Stockpile (the U.S. government's repository of drugs, vaccines and equipment to be used in major public health emergencies), 233,000 respirators and 200,000 surgical masks.
The Exchange sustainability is tied to three funding sources established in statute: (1) the existing 2 percent tax on health insurance premiums sold through Washington Healthplanfinder; (2) reimbursement for activities performed on behalf of Washington Apple Health (the state's Medicaid program), and; (3) an agreed upon carrier assessment. The ...
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
The Department of Social and Health Services (DSHS) is Washington's social services department. The agency has its headquarters in Office Building Two (OB-2) in Olympia , the state capital. [ 1 ] Annually, 2.2 million children, families, vulnerable adults and seniors come to the department for protection, comfort, food assistance, financial aid ...
It sells health insurance plans under the Blue Cross license in Washington state except Clark County and under both of the Blue Cross and Blue Shield licenses in Alaska. The company provides health insurance and related services to approximately 2 million people. [1] Premera Blue Cross has operated in Washington since 1945, and in Alaska since ...
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List of Washington State Insurance Commissioners [5] [6] Name Years Party J. H. Schively: 1909–1913 Republican H.O.Fishback 1913–1933 Republican William A. Sullivan 1933–1961 Democratic Lee I. Kueckelhan 1961–1969 Democratic Karl Herrmann 1969–1977 Democratic Richard G. Marquardt 1977–1993 Republican Deborah Senn: 1993–2001 Democratic