IA HF556

Requires health insurers to respond to credentialing requests from physicians, advanced registered nurse practitioners, or physician assistants within 56 calendar days

Mandates health insurers provide written reasons for any credentialing denial to the requesting healthcare provider

Establishes an appeal process allowing denied providers to appeal first internally, then to the Iowa Insurance Division

Allows network adequacy to serve as grounds for appealing a credentialing denial

Maintains existing requirements for retrospective payment of clean claims for covered services provided during the credentialing period once a provider is credentialed