Arizona Laws 20-3457. Availability of credentialing information; policies
A. A health insurer shall make the following nonproprietary information available to all applicants for credentialing and shall post the information on its website:
Terms Used In Arizona Laws 20-3457
- Applicant: means a provider that submits a credentialing application to a health insurer to become a participating provider in the health insurer's network. See Arizona Laws 20-3451
- Application: means an applicant's initial application to be credentialed as a participating provider. See Arizona Laws 20-3451
- Credentialing: means to collect, verify and assess whether a provider meets relevant licensing, education and training requirements to become or remain a participating provider. See Arizona Laws 20-3451
- Health insurer: means a disability insurer, group disability insurer, blanket disability insurer, health care services organization, hospital service corporation, medical service corporation or a hospital, medical, dental and optometric service corporation and includes the health insurer's designee. See Arizona Laws 20-3451
- including: means not limited to and is not a term of exclusion. See Arizona Laws 1-215
- Process: means a citation, writ or summons issued in the course of judicial proceedings. See Arizona Laws 1-215
- Provider: means a physician, hospital or other person that is licensed in this state or that is otherwise authorized to furnish health care services in this state. See Arizona Laws 20-3451
1. The applicable credentialing policies and procedures.
2. A list of all the information required to be included in an application.
3. A checklist of materials that must be submitted in the credentialing process.
4. Designated contact information, including a designated point of contact, an e-mail address and a telephone number to address any credentialing inquiries.
B. On completion of the credentialing process, a health insurer shall make all nonproprietary information pertaining to a provider‘s credentialing application and final decision available to the applicant on request, if allowed by law.