Pennsylvania HB544 mandates the use of CAQH credentialing applications for health insurers and outlines credentialing requirements.
HB544, known as the Health Care Practitioner Credentialing Act, requires health insurers in Pennsylvania to use the CAQH credentialing application or another designated form for health care practitioners. The bill mandates that health insurers notify practitioners within 10 business days if an application is incomplete and issue a credentialing determination within 45 business days for complete applications. It also allows for automatic credentialing for practitioners with multiple locations.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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