# RCW 48.200.230: RCW 48.200.230: Basis of finding of claim

> Washington · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S230

## Section

- **Citation:** RCW 48.200.230
- **Heading:** RCW 48.200.230: Basis of finding of claim
- **Jurisdiction:** Washington
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Washington Code / Title 48 / Chapter 200 / Section 230

## Text

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.

## Nearby sections

- [RCW 48.200.010 RCW 48.200.010: Findings—Intent.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S010.md)
- [RCW 48.200.020 RCW 48.200.020: Definitions.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S020.md)
- [RCW 48.200.030 RCW 48.200.030: Registration requirements—Application—Fees—Retention of transaction records.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S030.md)
- [RCW 48.200.040 RCW 48.200.040: Contract requirements—Written agreement describing rights and responsibilities—Filing of contracts—Confidentiality.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S040.md)
- [RCW 48.200.050 RCW 48.200.050: Inquiries or complaints—Violations of chapter—Enforcement actions—Responsibility of carriers and programs for compliance.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S050.md)
- [RCW 48.200.210 RCW 48.200.210: Definitions applicable to RCW 48.200.220 through 48.200.290.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S210.md)
- [RCW 48.200.220 RCW 48.200.220: Auditing of claims—Requirements—Prohibited practices.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S220.md)
- [RCW 48.200.230 RCW 48.200.230: Basis of finding of claim.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S230.md)
- [RCW 48.200.240 RCW 48.200.240: Contract with third party—Prohibited practices.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S240.md)
- [RCW 48.200.250 RCW 48.200.250: Evidence of validation of claim.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S250.md)
- [RCW 48.200.260 RCW 48.200.260: Preliminary audit report—Dispute or denial of claim—Final audit report—Recoupment of disputed funds.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S260.md)
- [RCW 48.200.270 RCW 48.200.270: Application.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S270.md)
- [RCW 48.200.280 RCW 48.200.280: Predetermination of reimbursement costs—Appeals—Review by commissioner.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S280.md)
- [RCW 48.200.290 RCW 48.200.290: Enforcement—Disputes—Civil penalties.](https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S290.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_WA_T48_C200_S230. Check the current official text before relying on it. Not legal advice.