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AZ HB2322
Bill
Status
4/17/2018
Primary Sponsor
Heather Carter
Click for details
AI Summary
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Establishes new Chapter 26 of Arizona Revised Statutes requiring health insurers to implement standardized electronic credentialing processes for healthcare providers by December 31, 2019.
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Mandates health insurers complete credentialing and loading within 100 calendar days of receiving a complete application, with exceptions for facilities with delegated credentialing agreements (10-day loading requirement).
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Requires health insurers to acknowledge applications within 7 days, notify applicants of incomplete applications within 7 days with detailed lists of missing items, and provide proposed contracts upon completion.
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Prohibits health insurers from denying claims for covered services provided by credentialed participating providers with fully executed contracts after approval date.
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Amends section 20-456 to include Chapter 26 violations in civil penalty provisions, allowing up to $1,000 per violation (capped at $10,000) or up to $5,000 per violation (capped at $50,000 in six months) for intentional violations, with director of insurance responsible for enforcement.
Legislative Description
Health insurers; provider credentialing
Health Insurance
Last Action
Chapter 238
4/17/2018