Promotes transparency and efficiency in health carrier relations with health care providers and facilities.

The bill mandates that health carriers use a specific database to manage credentialing applications from health care providers, prohibiting them from requiring other formats. It sets a timeline for carriers to approve or deny applications, reducing the timeframe to 30 days by January 1, 2027. Additionally, it requires carriers to post all coverage, claims, and billing documents on their websites for provider access. This includes billing guides, payment policies, and other necessary information to facilitate timely reimbursement and claims submission.

Promotes transparency and efficiency in health carrier relations with health care providers and facilities.

The bill mandates that health carriers use a specific database to manage credentialing applications from health care providers, prohibiting them from requiring other formats. It sets a timeline for carriers to approve or deny applications, reducing the timeframe to 30 days by January 1, 2027. Additionally, it requires carriers to post all coverage, claims, and billing documents on their websites for provider access. This includes billing guides, payment policies, and other necessary information to facilitate timely reimbursement and claims submission.