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2020 SESSION

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HB 822 Health insurance; credentialing, health care or professional health-related services.

Introduced by: Christopher T. Head | all patrons    ...    notes | add to my profiles

SUMMARY AS PASSED: (all summaries)

Health insurance; credentialing; health care providers. Requires health insurers and other carriers that credential certain health professionals in their provider networks to establish reasonable protocols and procedures for reimbursing such a professional who has submitted a completed credentialing application to a carrier, within 30 days of being credentialed by the carrier, for services provided to covered persons during the period in which the applicant's completed credentialing application is pending. The bill makes this requirement applicable to a person, corporation, facility, or institution licensed by the Commonwealth under Title 32.1 (Health) or Title 54.1 (Professions and Occupations) to provide health care or professional health-related services on a fee basis. Such a requirement exists in current law for participating physicians and participating mental health professionals but without a time limit for reimbursement. The bill applies the 30-day limit to such participating physicians and participating mental health professionals.


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