Payments to health-care professionals for services rendered during pendency of credentialing [Effective Jan. 1, 2028].
Del. Code tit. 18, § 3309B
in effect(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.
Source: DE Code (Official Site)URL: https://delcode.delaware.gov/title18/c033b/index.htmlFetched: 10/4/2026