IA HF875

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

Mandates that health insurers provide a written reason for denial if a provider's credentialing request is rejected

Maintains existing requirement for the insurance commissioner to adopt rules for retrospective payment of clean claims for covered services provided during the credentialing period once a provider is credentialed

Defines key terms including "credentialing" (the process insurers use to determine provider eligibility for network participation and reimbursement), "credentialing period," and covered provider types

Effective date: July 1, 2025