Washington § 48.43.747 - Dental only plan — Coverage for same day procedures.

Full text of Washington Revised Code of Washington § 48.43.747 — Dental only plan — Coverage for same day procedures., with citation guidance and answers to common questions.

§ 48.43.747. Dental only plan — Coverage for same day procedures.

(1) A dental only plan offered by a carrier or limited health care service contractor, as defined in RCW 48.44.035, may not deny coverage for procedures solely on the basis that the procedures were performed on the same day.
(2) Nothing in this section shall prevent a dental only plan offered by a carrier or limited health care service contractor from denying a claim for coverage where such denial relates in whole or in part to any of the following:
(a) Limitations intended to prevent fraud, waste, and abuse;
(b) A claim indicating unbundling of procedure elements where payment for a service bundles multiple procedure elements;
(c) Clinical appropriateness;
(d) Medical necessity;
(e) A final benefit decision that has been pended due to the need for further documentation or provider narrative; or
(f) Plan benefit limitations.
[ 2025 c 219 s 1.]

Notes

Rules—2025 c 219 ss 1 and 2: "The insurance commissioner may adopt any rules necessary to implement sections 1 and 2 of this act." [ 2025 c 219 s 3.]

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Frequently Asked Questions About Washington § 48.43.747

What does Revised Code of Washington § 48.43.747 cover?

Section 48.43.747 ("Dental only plan — Coverage for same day procedures.") is part of the Revised Code of Washington, the codified statutory law of Washington. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Washington § 48.43.747?

A common citation format is "Revised Code of Washington § 48.43.747" (Washington). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Washington law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Washington official source linked on this page or consult a licensed Washington attorney.

How does Washington § 48.43.747 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Washington can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Washington.