Ama Policy

Reimbursement for Services Rendered During Pendency of Physician’s Credentialing Application D-180.980

Credentialing-Payment Issues

Our AMA will develop model state legislation for physicians being credentialed by a health plan to treat patients and retroactively receive payments if they are ultimately credentialed or to be deemed credentialed upon submission of a complete application if the physician is part of a group practice with an existing contract with that health plan.


Policy Timeline

Res. 201, I-18