Provider Networks FAQ

  • Updated 03/12/2020

FAQ
General Questions
Do the providers in a plan network have to be credentialed?

Issuers are, and will be, required to attest that all providers in their network are credentialed. The attestation must be included in PDF format and submitted in the binder filing under the Supporting Documentation tab.

What does DIFS require as proof that the providers within a network are credentialed?

At the time of filing, DIFS will require that an issuer submit an attestation that all participating providers in its network are credentialed. The attestation must be included in PDF format and submitted in the binder filing under the Supporting Documentation tab.

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    The answers provided are not meant to be a substitute for legal advice.