Revises credentialing process for physicians attempting to enter a health insurance carrier's provider network.
Requires health insurance carriers to provide adequate network of physicians.
Requires health insurance carriers to provide adequate network of physicians.
Requires automatic issuance of credential to provide services in carrier provider network for physicians in good standing in New Jersey.
Requires automatic issuance of credential to provide services in carrier provider network for physicians in good standing in New Jersey.
Concerns standards for non-renewal or termination of certain health care professionals from insurance carrier's provider network.
Concerns standards for non-renewal or termination of certain health care professionals from insurance carrier's provider network.
Requires health insurance carriers to provide network adequacy within health benefits plans.
Establishes additional health insurance carrier network adequacy standards with respect to certain physician specialists.
Requires DOBI to develop system to require carriers to consult with health care providers on tiered network managed care plans.