Rhode Island General Laws 27-20.9-2. Credentialing – Insurers shall notify providers of initial credentialing within ten business days of approval by the insurer credentialing committee
Current as of: 2023 | Check for updates
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The health insurer shall reimburse the health care provider for covered services rendered by the health care provider to the health insurer’s subscribers or members following the first business day after the credentialing committee’s approval, provided that the health care provider returns a signed health care contract within fifteen (15) business days of receipt from the health insurer.
History of Section.
P.L. 2007, ch. 86, § 1; P.L. 2007, ch. 215, § 1.
Terms Used In Rhode Island General Laws 27-20.9-2
- Contract: A legal written agreement that becomes binding when signed.
- Health care provider: means a person licensed or certified in this state to practice medicine, pharmacy, chiropractic, nursing, physical therapy, podiatry, dentistry, optometry, occupational therapy, or other healing arts. See Rhode Island General Laws 27-20.9-1
- Health insurer: means every nonprofit medical service corporation, hospital service corporation, health maintenance organization, or other insurer offering and/or insuring health services; the term shall in addition include any entity defined as an insurer under § 42-62-4 and any third-party administrator when interacting with health care providers and enrollees on behalf of such an insurer. See Rhode Island General Laws 27-20.9-1