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Bill

Bill

SB 5683

Concerning health carrier transparency of payment timeliness of claims submitted by health care providers and health care facilities.

2025-2026 Regular Session Introduced by Noel Frame and 3 co-sponsors

Washington bill requiring health insurers to publicly report claim payment speed to establish transparency and accountability for provider reimbursement timeliness.

Referred to Ways & Means.
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Bill Summary · SB 5683

Legislative bill overview

SB 5683 requires health insurance carriers in Washington to provide transparency regarding how quickly they pay claims submitted by healthcare providers and facilities. The bill mandates carriers disclose payment timeliness data, likely establishing standards or reporting requirements for claim processing speeds.

Why is this important

Slow claim payments create cash flow problems for medical providers, which can lead to reduced services, staff layoffs, or increased patient costs. Payment transparency helps identify problematic insurers and creates accountability pressure to meet reasonable timelines, benefiting both providers and ultimately patients through healthcare system stability.

Potential points of contention

  • Insurance industry burden: Carriers may argue extensive reporting requirements increase administrative costs, which could be passed to consumers through higher premiums
  • Competitive vs. regulatory concern: Determining whether disclosure should be public (affecting market competition) or only to regulators impacts insurance company concerns about competitive disadvantage
  • Timeline standards: Disagreement likely exists over what constitutes "timely" payment—different specialties and claim types may have legitimate timing variations
  • Definition gaps: The bill's actual payment thresholds, reporting frequency, and which claims are covered remain unclear without seeing full text

Compiled from official sources — confirm details with the bill’s official record.

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