Tenn. Comp. R. & Regs. 0800-02-26-.08 - MEDICAL DOCUMENTATION NECESSARY FOR BILLING ADJUDICATION
(1) Medical documentation includes all
medical reports and records permitted or required in accordance with T.C.A.
§
50-6-204(a)(2)(A)-(D).
(2) For the purposes of these Rules, requests
for medical reports shall not require any releases by the patient pursuant to
T.C.A. §
50-6-204(a)(2)(A)-(D).
(3) Any request by the payer for additional
documentation to process a medical bill shall conform to the requirements of
0800-02-26-.06(3).
(4) It is the
obligation of an insurer or employer to furnish its agents with any
documentation necessary for the resolution of a medical bill.
(5) Health care providers, health care
facilities, third-party biller/assignees, and claims administrators and their
agents shall comply with all applicable Federal and jurisdictional rules
related to privacy, confidentiality, and security.
Notes
Authority: T.C.A. § 50-6-202(a)-(c).
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