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2023 Tennessee Code
Title 56 - INSURANCE (§§ 56-1-101 — 56-61-125)
Chapter 7 - POLICIES AND POLICYHOLDERS 33|373 (§§ 56-7-NEW — 56-7-3722)
Part 37 - PRIOR AUTHORIZATION FAIRNESS ACT (§§ 56-7-3701 — 56-7-3722)
Section 56-7-3715 - [Effective 1/1/2025] Related service
Universal Citation:
TN Code § 56-7-3715 (2023)
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- (a) A utilization review organization shall not deem as incidental or deny claims for supplies or healthcare services that are routinely used as part of a healthcare service when:
- (1) A closely related service has received prior authorization; or
- (2) Prior authorization for the healthcare service is not required.
- (b) As used in this section, "closely related service" means a similar service to the service allowed by prior authorization and required by the standard of care.
Amended by 2023 Tenn. Acts, ch. 395, s 4, eff. 1/1/2025.
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