Search Results

Ama Policy

Physician Information for Credentialing H-450.990

10/16/2019
Credentialing-Deadlines
Ama Policy

Physician Recredentialing by Managed Care Plans H-285.934

10/15/2019
Credentialing-Deadlines
Ama Policy

Managed Care Insurance Company Credentialing H-285.979

08/31/2022
Credentialing-Deadlines
State Law

Arizona Rev. Statutes-Title 20-Chapter 27-Article 1. General Provisions

07/28/2023 Arizona Section 20-3453

Credentialing; loading; timelines; exception

Credentialing-Deadlines
State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 4. Arkansas Health Care Consumer Act

07/28/2023 Arkansas Section 23-63-411

Processing applications of providers

Credentialing-Deadlines
State Law

Colorado Rev. Statutes-Title 10-Article 16-Part 7. Consumer Protection Standards Act for the Operation of Managed Care Plans

07/31/2023 Colorado Section 10-16-705.7

Timely Credentialing of Physicians by Carriers – Notice of Receipt Required – Notice of Incomplete Applications Required – Delegated Credentialing Agreements – Discrepancies – Denials of Claims Prohibited – Disclosures – Recredentialing – Enforcement – Rules – Definitions

Credentialing-Deadlines, Credentialing-Payment Issues, Directories
State Law

Illinois Compiled Statutes-410 ILCS 517/-Health Care Professional Credentials Data Collection Act

11/02/2023 Illinois Sections 517/5 and 517/10

Definitions; Development and use of uniform health care and hospital credentials forms

Credentialing-Deadlines
State Law

Indiana Code-Title 27-Article 8-Chapter 11-Accident and Sickness Insurance─Reimbursement Agreements

12/19/2024 Indiana Sections 27-8-11-1, 27-8-11-4.5, 27-8-11-7, 27-8-11-8, 27-8-11-9, 27-8-11-11, 27-8-11-13

Definitions; Permitted Disclosures by Providers; Coverage of Benefit or Service; Payment of Provider, Application; Provider Credentialing; Provider Directories; Preferred Provider Agreement Prohibitions; Insurer Payment to Insured for Service Rendered by Noncontracted Provider; Requirements; Fully Credentialed Provider Reimbursement; Requirements

Anti-gag clause, Anti-retaliation, Credentialing-Deadlines, Credentialing-Payment Issues, Directories, Most Favored Nation
State Law

Indiana Code-Title 27-Article 13-Chapter 43. Credentialing

12/19/2024 Indiana Sections 27-13-43-2 and 27-13-43-4

Provider Credentialing; Provisional Credentialing, Criteria, Reimbursement, Termination; Fully Credentialed Provider Reimbursement; Requirements

Credentialing-Deadlines, Credentialing-Payment Issues
State Law

KY. Rev. Statutes-Chapter 304-Subtitle 17A-Health Benefit Plans-Managed Care Plans

08/05/2023 Kentucky Section 304.17A-576

Notice by managed care plan insurer of health care provider’s application for credentialing–Payments to applicant.

Credentialing-Deadlines, Credentialing-Payment Issues