The bill amends Section 514F.6 of the Iowa Code to update the credentialing process for health insurers. It expands the definition of eligible professionals to include all health care professionals, rather than just physicians, advanced registered nurse practitioners, or physician assistants. The bill mandates that health insurers respond to credentialing requests from health care professionals within fifty-six calendar days and requires them to provide written reasons for any denial of such requests.

Additionally, the bill introduces new definitions, including "health care professional," which encompasses a broader range of licensed practitioners, and clarifies the terms "clean claim" and "credentialing period." The changes aim to streamline the credentialing process and ensure that all qualified health care professionals are treated equitably by health insurers in Iowa.

Statutes affected:
Introduced: 514F.6