1. (a) This section applies to an insurer that issues or administers a policy that provides coverage for basic health care services (as defined in IC 27-13-1-4 ).
2. (b) The department of insurance shall prescribe the credentialing application form used by the Council for Affordable Quality Healthcare
3. (CAQH) in electronic or paper format, which must be used by:
4. (1) a provider who applies for credentialing by an insurer; and
5. (2) an insurer that performs credentialing activities.
6. (c) An insurer shall notify a provider concerning a deficiency on a completed credentialing application form submitted by the provider not later than thirty (30) business days after the insurer receives the completed credentialing application form.
7. (d) An insurer shall notify a provider concerning the status of the provider's completed credentialing application not later than:
8. (1) sixty (60) days after the insurer receives the completed credentialing application form; and
9. (2) every thirty (30) days after the notice is provided under subdivision (1), until the insurer makes a final credentialing determination concerning the provider.

As added by P.L.26-2005, SEC.2.