Amends TCA Title 56, Chapter 7, Part 23.
Tennessee HB1993 prohibits health insurance issuers and managed health insurance issuers from reimbursing medical laboratories, eligible as in-network providers, at rates lower than the CMS clinical laboratory fee schedule for the state. The bill affects medical laboratories and health insurance issuers by ensuring fair reimbursement rates for testing services. Additionally, it allows managed health insurance issuers to require these laboratories to meet specific performance metrics to maintain their in-network status.
Tennessee HB1993 prohibits health insurance issuers and managed health insurance issuers from reimbursing medical laboratories, eligible as in-network providers, at rates lower than the CMS clinical laboratory fee schedule for the state. The bill affects medical laboratories and health insurance issuers by ensuring fair reimbursement rates for testing services. Additionally, it allows managed health insurance issuers to require these laboratories to meet specific performance metrics to maintain their in-network status.
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