18 Del. C. § 3309B: Payments to health-care professionals for services rendered during pendency of credentialing [Effective Jan. 1, 2028].
Where this section sits in the code
- Title 18. Insurance Code
- Part I. Insurance
- Chapter 33B. Health-Care Professional Access Act [Effective Jan. 1, 2028].
(a) A carrier must pay claims for services rendered by a health-care professional prior to credentialing from the date a complete application for credentialing is submitted to the carrier as long as credentials are granted to that health-care professional by the carrier in accordance with the requirements of this chapter.
(b) A health-care professional intending to submit a claim pursuant to this subsection may not submit the claim until notified by the carrier of the effective date of any credentials.
(c) If a claim is submitted prior to the date credentials are granted, the carrier may process that claim in the same manner as a claim submitted by a nonnetwork health-care professional.
Collected 2026-10-21T05:49:49Z. Source file · JSON