Section 376.1575 – Definitions.

Effective – 28 Aug 2022, 2 histories 376.1575. Definitions. — As used in sections 376.1575 to 376.1580*, the following terms shall mean: (1) “Completed application”, a practitioner’s application to a health carrier that seeks the health carrier’s authorization for the practitioner to provide patient care services as a member of the health carrier’s network and […]

Section 376.1578 – Credentialing procedure, health carrier duties — covered health services, payment, when — violations, mechanism for reporting.

Effective – 28 Aug 2020, 2 histories 376.1578. Credentialing procedure, health carrier duties — covered health services, payment, when — violations, mechanism for reporting. — 1. Within two working days after receipt of a credentialing application, the health carrier shall send a notice of receipt to the practitioner. A health carrier shall provide access to […]