Amends TCA Title 56, Chapter 7.
Tennessee SB2020 prohibits health insurance entities from downcoding reimbursement claims submitted by healthcare professionals, with certain limited exceptions. This bill primarily affects healthcare providers and insurance companies involved in the reimbursement process. Key provisions include the restriction on downcoding and additional changes related to the adjudication of health insurance claims.
Tennessee SB2020 prohibits health insurance entities from downcoding reimbursement claims submitted by healthcare professionals, with certain limited exceptions. This bill primarily affects healthcare providers and insurance companies involved in the reimbursement process. Key provisions include the restriction on downcoding and additional changes related to the adjudication of health insurance claims.
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