Iowa HF875 mandates health insurers to respond to credentialing requests within 56 days and provide written reasons for denials.
Iowa HF875 amends the health insurer credentialing process. It requires insurers to respond to credentialing requests from physicians, advanced registered nurse practitioners, or physician assistants within 56 calendar days. If a request is denied, the insurer must provide a written reason for the denial. The bill also defines terms such as "credentialing," "clean claim," and "credentialing period." Effective July 1, 2025.
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