This bill mandates the Superintendent of Insurance to establish rules that create a standardized and efficient process for the credentialing of dentists and dental hygienists by health insurance carriers. It stipulates that health insurance carriers must approve or deny credentialing applications within thirty calendar days of receiving a complete application. If the carriers fail to load the necessary information into their provider payment systems within this timeframe, they are required to reimburse the approved dentists and dental hygienists for covered health care services rendered after the application date.
Additionally, the bill outlines specific requirements for health insurance carriers regarding the credentialing process, including the frequency of primary credential verification, the conditions under which provisional credentialing may be granted, and the obligations to notify applicants of any required documentation. It also defines the terms "credentialing," "dental hygienist," and "dentist" to clarify the scope of the legislation. Overall, the bill aims to streamline the credentialing process and ensure timely reimbursement for dental services.