Amends TCA Title 56 and Title 63, Chapter 1.
Tennessee HB1074 amends existing laws regarding communication requirements between healthcare providers and patients concerning prior authorization requests. The bill affects healthcare providers, patients, and utilization review agents by extending the notification period from five business days to seven calendar days, limiting notifications to communications between providers and patients' health insurance entities, and removing the requirement for a summary of the communication. Additionally, it mandates that if a provider fails to submit requested information within the specified timeframe, the utilization review organization must notify the patient that further information has been requested from the provider.
Tennessee HB1074 amends existing laws regarding communication requirements between healthcare providers and patients concerning prior authorization requests. The bill affects healthcare providers, patients, and utilization review agents by extending the notification period from five business days to seven calendar days, limiting notifications to communications between providers and patients' health insurance entities, and removing the requirement for a summary of the communication. Additionally, it mandates that if a provider fails to submit requested information within the specified timeframe, the utilization review organization must notify the patient that further information has been requested from the provider.
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