Payments to health-care professionals for services rendered during pendency of credentialing [Effective Jan. 1, 2028].

§ 3309B. Payments to health-care professionals for services rendered during pendency of credentialing [Effective Jan. 1, 2028]. (a) A carrier must pay claims for services rendered by a health-care professional prior to credentialing from the date a complete application for credentialing is submitted to the carrier as long as credentials are granted to that health-care professional by the carrier in accordance with the requirements of this chapter. (b) A health-care professional intending to submit a claim pursuant to this subsection may not submit the claim until notified by the carrier of the effective date of any credentials. (c) If a claim is submitted prior to the date credentials are granted, the carrier may process that claim in the same manner as a claim submitted by a nonnetwork health-care professional.85 Del. Laws, c. 487, § 1;