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Indiana · Snapshot 2026

IC 27-13-43-3.5: Provisional credentialing for independent primary care practice physicians; criteria

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Where this section sits in the code
  1. TITLE 27. INSURANCE
  2. ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS
  3. Chapter 43. Credentialing

Sec. 3.5. (a) A physician licensed under IC 25-22.5 who was credentialed with a health maintenance organization to provide services within the previous twelve (12) months shall be considered provisionally credentialed if the physician:

(1) is in good standing with the health maintenance organization; and

(2) establishes or joins an independent primary care practice.

(b) The health maintenance organization shall complete the credentialing process for an individual who is provisionally credentialed under subsection (a).

Collected 2026-09-25T05:39:04Z. Source file · JSON

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