Bill > SB1228

This bill establishes a provisional provider credentialing process for health insurers in Arizona, meaning that a health insurer must grant temporary approval to a healthcare provider to begin seeing patients and billing for services as soon as they submit a complete application, provided the provider is licensed and in good standing, has been vetted by a healthcare institution or credentialing organization, and is joining a practice or institution that already has a contract with the insurer. During this provisional period, which lasts until the insurer officially approves or denies the application or for 60 days, whichever comes first, the insurer must pay claims submitted by the provider at the contracted rates, and if the application is denied, the insurer is not responsible for claims submitted after the denial date, though they cannot recoup payments made during the provisional period unless the claims were fraudulent. This new process will apply to credentialing applications submitted on or after January 1, 2027.

Budget and Finance

https://apps.azleg.gov/BillStatus/BillOverview/84545