Bill > A5713

This bill modifies existing New Jersey law to require health insurance carriers (companies that provide managed care plans) to automatically approve credentialing applications for physicians who have a license in good standing from the State Board of Medical Examiners. Under the proposed legislation, when a physician submits a universal application form to participate in a carrier's provider network, the carrier must approve the application if the physician's medical license is confirmed to be in good standing. The bill removes previous language that gave carriers 180 days to process such applications and instead mandates immediate approval, effectively streamlining the credentialing process for physicians. Carriers are still allowed to request additional information from applicants that is not duplicative of the standard universal application form. The bill will apply to all credentialing applications received on or after its effective date, with the goal of making it easier and faster for physicians to join health insurance provider networks in New Jersey.

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https://www.njleg.state.nj.us/bill-search/2024/A5713