Regulatory Requirements

Pre-Authorization Reporting

In an effort to improve transparency in the pre-authorization approval and decline
rates by health plans, Delaware law (Title 18, Subchapter V of the Delaware
Code) now requires the submission of pre-authorization data to Delaware Health
Information Network (DHIN) at least twice a year.

Health insurers, health benefit plans and health service corporations are
required to report de-identified statistics regarding pre-authorization
approvals, denials and appeals in the specified format [linked below] to DHIN no
later than July 31, 2018.

Q&A from conference call with DHIN and the Department of Insurance (January 31st)

Pre-authorization reporting requirements and reporting spreadsheet

Testimonials

“At Nanticoke, we believe that electronic medical records and health information networks are core quality initiatives and truly enhance patient quality of care and patient safety. We are extremely delighted to be a member of the Delaware Health Information Network.”

– Steven A. Rose, President and CEO – Nanticoke Memorial Hospital

Delaware Health Information Network - Better Communication for Better Healthcare

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