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House Co-Sponsorship Memoranda
House of Representatives
Session of 2015 - 2016
Regular Session
MEMORANDUM
| Posted: | May 7, 2015 11:48 AM |
|---|---|
| From: | Representative Matthew E. Baker |
| To: | All House members |
| Subject: | Insurer Credentialing legislation |
| In the near future, I plan to introduce legislation to improve the physician credentialing process in Pennsylvania and address unwarranted delays by health insurers in credentialing applicants for inclusion in their networks. Hospitals and physician practices routinely face the situation where a newly hired health care professional who is fully licensed and qualified to provide care is not reimbursed by insurers for months while the insurers work their way through an unnecessarily long and cumbersome credentialing process. This costs hospitals and physician practices money and limits access to care by keeping fully licensed and qualified providers on the sidelines until they are credentialed by insurers. My legislation will establish an advisory council to develop a uniform credentialing form that health care providers will be required to use when seeking to become credentialed by a health insurer. Additionally, provisional credentialing will be granted to eligible applicants if a health insurer fails to issue a credentialing determination within 30 days after receiving the completed form. I hope you will join in co-sponsoring this important legislation. Thank you for your interest and support. |
Introduced as HB1663