§ 56-7-NEW v2 [Effective 7/1/2024]
§ 56-7-1001 Credentialing and contracting of health care providers by health insurance entities
§ 56-7-1002 Telehealth services
§ 56-7-1003 Provider-based telemedicine
§ 56-7-1004 Managed health insurer prohibited from contacting patient of physician’s practice to change referral for services to another provider – Exceptions – Civil penalty – Applicability
§ 56-7-1005 State mandated health benefits – Applicability
§ 56-7-1006 Prohibition against denial of reimbursement to or discrimination against physician based on maintenance of certification or licensure
§ 56-7-1007 Market conduct examination of health insurance carrier for compliance with coverage requirements for mental health or alcoholism or drug dependency services
§ 56-7-1008 Uniform claim forms authorized
§ 56-7-1009 Health care provider credentialing applications from the Council on Affordable Quality Healthcare (CAQH)
§ 56-7-1010 Jurisdiction over insurers
§ 56-7-1011 Remote patient monitoring services
§ 56-7-1012 Reimbursement for healthcare services provided during telehealth encounter
§ 56-7-1013 Access to health carriers’ payment policies – Rules – Fee Schedules
§ 56-7-1013 v2 Access to health carriers’ payment policies – Rules – Fee Schedules
§ 56-7-1014 Protocols and procedures for reimbursing physicians employed by federally qualified health centers – Expedited credentialing process
§ 56-7-1015 Reimbursement for anatomic pathology services
§ 56-7-1016 Tennessee Health Freedom Act
§ 56-7-1017 Prohibition against a dental insurance plan from requiring a participating dentist to provide services to covered individuals at a fee set by the plan
§ 56-7-1017 v2 Prohibition against a dental insurance plan from requiring a participating dentist to provide services to covered individuals at a fee set by the plan
§ 56-7-1018 Coverage for complex rehabilitation technology in health benefit plan
§ 56-7-1019 Complex rehabilitation technology (CRT) prior authorizations – Section definitions
lawyer at desk

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Tennessee Code > Title 56 > Chapter 7 > Part 10 - Health and Accident Insurance

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Code: includes the Tennessee Code and all amendments and revisions to the code and all additions and supplements to the code. See Tennessee Code 1-3-105
  • Commissioner: means the commissioner of commerce and insurance. See Tennessee Code 56-1-102
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Department: means the department of commerce and insurance. See Tennessee Code 56-1-102
  • Electronic funds transfer: The transfer of money between accounts by consumer electronic systems-such as automated teller machines (ATMs) and electronic payment of bills-rather than by check or cash. (Wire transfers, checks, drafts, and paper instruments do not fall into this category.) Source: OCC
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Markup: The process by which congressional committees and subcommittees debate, amend, and rewrite proposed legislation.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Person: means any association, aggregate of individuals, business, company, corporation, individual, joint-stock company, Lloyds-type organization, organization, partnership, receiver, reciprocal or interinsurance exchange, trustee or society. See Tennessee Code 56-16-102
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Record: means information that is inscribed on a tangible medium or that is stored in an electronic or other medium and is retrievable in a perceivable form. See Tennessee Code 1-3-105
  • Representative: when applied to those who represent a decedent, includes executors and administrators, unless the context implies heirs and distributees. See Tennessee Code 1-3-105
  • signed: includes a mark, the name being written near the mark and witnessed, or any other symbol or methodology executed or adopted by a party with intention to authenticate a writing or record, regardless of being witnessed. See Tennessee Code 1-3-105
  • State: when applied to the different parts of the United States, includes the District of Columbia and the several territories of the United States. See Tennessee Code 1-3-105
  • written: includes printing, typewriting, engraving, lithography, and any other mode of representing words and letters. See Tennessee Code 1-3-105
  • Year: means a calendar year, unless otherwise expressed. See Tennessee Code 1-3-105