Bill
HF 875
Overview: HF 875, A bill for an act relating to health insurers' credentialing process, signed by Governor, introduced on March 07, 2025.Purpose and Intent: The purpose of this leg
Overview: HF 875, A bill for an act relating to health insurers' credentialing process, signed by Governor, introduced on March 07, 2025.
Purpose and Intent: The purpose of this legislation is to streamline and standardize the credentialing process that health care providers must undergo to join insurance provider networks. The goal is to reduce administrative burdens and delays for both providers and insurers.
Key Provisions:
- Requires all health insurers to use a common credentialing application and review process
- Mandates insurers to complete the credentialing review within 45 days of receiving a completed application
- Prohibits insurers from requiring providers to submit duplicate information already contained in the standard application
- Allows providers to retroactively bill for services rendered during the credentialing period
Affected Parties and Impacts:
- Health care providers, including physicians, nurses, and other practitioners, will benefit from a more efficient credentialing process
- Health insurers must adapt their internal procedures to comply with the new standardized requirements
- Patients may experience improved access to in-network providers due to reduced credentialing delays
Procedural and Timeline Considerations:
The bill has been signed into law by the Governor. The new credentialing regulations will take effect 6 months after the law's passage.
Compiled from official sources — confirm details with the bill’s official record.
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