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AZ HB2322

Bill

Status

Passed

4/17/2018

Primary Sponsor

Heather Carter

Click for details

Origin

House of Representatives

Fifty-third Legislature - Second Regular Session (2018)

AI Summary

  • Establishes new Chapter 26 of Arizona Revised Statutes requiring health insurers to implement standardized electronic credentialing processes for healthcare providers by December 31, 2019.

  • 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).

  • 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.

  • Prohibits health insurers from denying claims for covered services provided by credentialed participating providers with fully executed contracts after approval date.

  • 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

Full Bill Text

No bill text available