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State IDR guide

Washington Independent Dispute Resolution Guide

Responsible agency
Washington State Office of the Insurance Commissioner

Washington is a bifurcated state. BBPA arbitration can apply to qualifying claims under OIC-regulated plans and self-funded plans that elect participation.

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01 / Washington

Plan and jurisdiction considerations

Confirm OIC regulation or self-funded opt-in, then test service and provider/facility eligibility. A third-party administrator's identity alone does not establish jurisdiction.

02 / Washington

Federal fallback

Federal IDR generally applies to eligible self-funded claims without a Washington election and claims outside BBPA's payment method.

03 / Washington

Timing and fees

OIC states that arbitration must generally be initiated no later than 10 calendar days after good-faith negotiation and that parties split arbitration cost; confirm the current form because eligibility and procedural dates are claim-specific.

04 / Washington

Air ambulance considerations

Air ambulance disputes generally remain within Federal IDR when eligible.

Not legal advice. This guide is general information. Consult current agency instructions and qualified counsel for legal interpretation.

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