Pennsylvania SB888 mandates the use of CAQH credentialing applications for health insurers and sets credentialing requirements.
Pennsylvania SB888, known as the Health Care Practitioner Credentialing Act, requires health insurers to accept the CAQH credentialing application or a designated alternative. Health insurers must notify practitioners within 10 business days if an application is incomplete and provide reasons. Insurers must issue a credentialing determination within 45 business days of receiving a complete application. Practitioners with complete applications in multiple locations are automatically credentialed in all locations.
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