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Pennsylvania House of Representatives
06/01/2024 05:48 PM
Pennsylvania House of Representatives
https://www.legis.state.pa.us/cfdocs/Legis/CSM/showMemoPublic.cfm?chamber=H&SPick=20130&cosponId=12068
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House Co-Sponsorship Memoranda

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House of Representatives
Session of 2013 - 2014 Regular Session

MEMORANDUM

Posted: March 11, 2013 01:19 PM
From: Representative Bryan Cutler
To: All House members
Subject: Physician's Credentialing (Former HB 1551)
 
In the very near future, I will be introducing legislation that seeks to streamline and improve the physician credentialing process in the Commonwealth.

Currently, the physician credentialing process can take many months to complete. The lag time between the time the physician submits his/her initial credentialing application to an insurer until the time where the physician receives a final determination from the insurer can be incredibly disruptive to both the physician’s practice as well as to the patients the practice seeks to treat.

In addition to the administrative and financial burdens this process places on physicians seeking to be credentialed, it can be incredibly burdensome on a health care practice bringing a new physician into a community within the state, as well as increase the out-of-pocket expenses that consumers pay in the meantime.

My legislation will, among other things, require all health insurers to:
  • Provide the physician with a status of their application within five days of receiving the physician’s initial credentialing application;
  • Reimburse the physician during the credentialing process; and
  • Accept the universal credentialing process through the Council for Affordable Quality Healthcare (CAQH).

PREVIOUS CO-SPONSORS:

AUMENT, CREIGHTON, DENLINGER, FARRY,

FLECK, GABLER, GEIST, GINGRICH, GRELL, GROVE, HELM,

HICKERNELL, MILLARD, MURT, PICKETT, QUINN, ROCK AND TALLMAN