AZ SB1679

Health care insurers must provide a written response when denying a provider's request to join their network that includes the denial basis, unmet terms and conditions, required compliance terms, and detailed appeal instructions.

Health care insurers are prohibited from denying network participation requests based solely on their perception that additional providers are not needed.

Defines "health care insurer" as disability insurers, health care services organizations, hospital service corporations, medical service corporations, dental service corporations, and optometric service corporations that operate provider networks.

Defines "health care provider" as individuals or entities licensed, registered, permitted or certified under Arizona title 32 or 36 that provide health care, medical, nursing, or health-related services.

Defines "provider network" as a defined set of health care providers under contract with an insurer to deliver health care services to covered persons under a health care plan.