Tenn. Comp. R. & Regs. 0800-02-06-.08 - UTILIZATION REVIEW FORMS
(1) All utilization
review organizations must file with the Bureau the Utilization Review
Notification form (Form C-35) electronically within three (3) business days
upon initiation of utilization review services on an employee's workers'
compensation claim. Only one form should be filed for each date of a
utilization review referral even if more than one treatment is reviewed on that
same date.
(2) All utilization
review organizations must file with the Bureau the Utilization Review Closure
form (Form C-36/C-37) electronically for each C-35 filed within three (3)
business days following the conclusion of utilization review services on an
employee's workers' compensation claim.
(3) If requested by the Bureau, a utilization
review organization shall be required to file an annual report with the Bureau
detailing the utilization review organization's activities.
Notes
Authority: T.C.A. ยงยง 50-6-102, 50-6-118, 50-6-124, 50-6-126, and 50-6-233.
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