Provider Directories [CAA, Transparency Provision]

Provider Directories [CAA, Transparency Provision]

Provider Directories [CAA, Transparency Provision]

Section 116 (division BB) requires that health plans maintain an accurate and up-to-date directory and database of in-network providers and facilities and provide members with an accurate directory online anytime, or offline within one day of request.

Market impact of this provision effects Individual Family Plan (IFP), Small Business Markets (SBM), Core, Premier, Administrative Services Only (ASO) and Shared Advantage (SA) lines of business.

 

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