RCW 48.200.230: Basis of finding of claim.
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Washington Code › Title 48 › Chapter 200 › Section 230
This text was captured on Aug 14, 2026. It is a snapshot, not a live feed, so check the official code before relying on it.
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An entity's finding that a claim was incorrectly presented or paid must be based on identified transactions and not based on probability sampling, extrapolation, or other means that project an error using the number of patients served who have a similar diagnosis or the number of similar prescriptions or refills for similar drugs.
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