Order 19-0579

Order Summary
$50,000 fine levied with compliance and reporting requirements for failing to timely provide decisions on 447 preauthorization requests, erroneously classifying an appeal as a full overturn rather than partial, resulting in the consumer not being provided with an explanation of her rights to seek review of the partial reversal. WAC 284-43-2050(10)(a)(i); WAC 284-43-3050(1)(b); RCW 48.43.530(5)(g).
Entities Named in the Order
Entity Name Location
LIFEWISE HEALTH PLAN OF WASHINGTON MNTLAKE TERRACE, WA
Order Documents
Order Type Issue Date Effective Date
Consent Order with Fine 12/10/2019 01/15/2020

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