North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 20 - MANAGED CARE HEALTH BENEFIT PLANS
Section .0400 - NETWORK PROVIDER CREDENTIALS
Section 20 .0401 - CREDENTIAL VERIFICATION PROGRAM
Universal Citation: 11 NC Admin Code 20 .0401
Current through Register Vol. 39, No. 6, September 16, 2024
In order to assure accessibility and availability of services, each carrier shall establish a program in accordance with this Section that verifies that its network providers are credentialed before the carrier lists those providers in the carrier's provider directory, handbooks, or other marketing or member materials.
Authority
G.S.
58-2-40(1);
58-50-55(b);
58-65-1;
58-65-25;
58-65-140;
58-67-5;
58-67-10;
58-67-20;
58-67-35; 58-67-65; 58-67-140; 58-67-150;
Eff. October 1,
1996;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. December 16,
2014.
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