There is a newer version of the Tennessee Code
2016 Tennessee Code
Title 56 - Insurance
Chapter 61 - Tennessee Health Carrier Grievance and External Review Procedure Act
- § 56-61-101. Short title -- Purpose.
- § 56-61-102. Chapter definitions.
- § 56-61-103. Applicability and scope.
- § 56-61-104. No limitations or restrictions on denying coverage of services not medically necessary.
- § 56-61-105. Maintenance of register of written records to document grievances.
- § 56-61-106. Written procedures for grievances.
- § 56-61-107. First level review of adverse determination.
- § 56-61-108. Second level review of adverse determination.
- § 56-61-109. Establishment of written procedures for expedited review of urgent care requests of grievances involving adverse determination.
- § 56-61-110. Rules and regulations.
- § 56-61-111. Penalties for violations.
- § 56-61-112. Elections for conducting external review program.
- § 56-61-113. Notice of right to external review.
- § 56-61-114. Request for external review.
- § 56-61-115. Exhaustion of internal grievance process.
- § 56-61-116. Standard external review.
- § 56-61-117. Expedited external review.
- § 56-61-118. Requests for external review when service or treatment determined to be investigational.
- § 56-61-119. Binding nature of external review decisions.
- § 56-61-120. Approval of external review organizations.
- § 56-61-121. Minimum qualifications for independent review organizations.
- § 56-61-122. Hold harmless for external review organizations.
- § 56-61-123. External review reporting requirements.
- § 56-61-124. Funding of external review.
- § 56-61-125. Disclosure requirements.
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