Tenn. Comp. R. & Regs. 0800-02-26-.09 - COMPLIANCE AND PENALTY
(1) Any
electronically submitted bill determined to be complete but not paid within 30
calendar days or objected to within 30 calendar days will be subject to
penalties of not less than $50.00 nor more than $5,000.00. Disputes on medical
bill payments between providers and payers may be submitted to the Medical
Payment Committee pursuant to T.C.A. §
50-6-125.
(2) The Tennessee Bureau of Workers'
Compensation may impose a civil monetary penalty if it determines that a payer
has failed to comply with the electronic claims acceptance and response process
by the effective date adopted in
0800-02-26-.10.
The amount of a civil monetary penalty will be up to $500.00 for each
violation, but shall not exceed $5,000.00 for identical violations during a
calendar year.
Notes
Authority: T.C.A. § 50-6-202.
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