Plain English Breakdown
The official source confirms the bill passed both chambers but does not list a specific effective date or executive action details.
Surprise Billing Consumer Protection Act: Credentialing Time Limits
This bill requires certain health insurers with network plans to approve credentialing applications within a set time and directs the Department of Insurance to create a standard application form.
What This Bill Does
- Requires certain health insurers providing a network plan to approve credentialing applications within a specific time frame.
- Directs the Department of Insurance to establish a standardized credentialing application for providers.
- Amends Chapter 20E of Title 33 of the Official Code of Georgia Annotated regarding surprise billing protections.
- Repeals laws that conflict with these new requirements.
Who It Names or Affects
- Health insurers in Georgia providing network plans
- The Department of Insurance
- Medical providers applying for credentialing
Terms To Know
- Credentialing application
- A formal request by a medical provider to be approved as part of an insurance company's network.
- Network plan
- An insurance policy that covers services from doctors and hospitals within a specific group or list.
Limits and Unknowns
- The official summary does not state the exact number of days insurers have to approve applications.
- The effective date for when these rules begin is not listed in the provided text.
- Details on penalties for missing deadlines are not included.