Health insurers must respond to credentialing requests within 56 days and provide reasons for denials.

This bill amends the health insurer credentialing process, requiring insurers to respond to requests within 56 days and provide written reasons for denials. It defines "credentialing period" as the time between application receipt and approval. "Health care professional" includes physicians, advanced registered nurse practitioners, and physician assistants. The bill also mandates retrospective payment for clean claims from credentialed professionals.

Health insurers must respond to credentialing requests within 56 days and provide reasons for denials.

This bill amends the health insurer credentialing process, requiring insurers to respond to requests within 56 days and provide written reasons for denials. It defines "credentialing period" as the time between application receipt and approval. "Health care professional" includes physicians, advanced registered nurse practitioners, and physician assistants. The bill also mandates retrospective payment for clean claims from credentialed professionals.