Section 0800-02-26-.08 - MEDICAL DOCUMENTATION NECESSARY FOR BILLING ADJUDICATION(1) Medical documentation includes all medical reports and records permitted or required in accordance with T.C.A. § 50-6-204(a)(2)(A)-(D).(2) For the purposes of these Rules, requests for medical reports shall not require any releases by the patient pursuant to T.C.A. § 50-6-204(a)(2)(A)-(D).(3) Any request by the payer for additional documentation to process a medical bill shall conform to the requirements of 0800-02-26-.06(3).(4) It is the obligation of an insurer or employer to furnish its agents with any documentation necessary for the resolution of a medical bill.(5) Health care providers, health care facilities, third-party biller/assignees, and claims administrators and their agents shall comply with all applicable Federal and jurisdictional rules related to privacy, confidentiality, and security.Tenn. Comp. R. & Regs. 0800-02-26-.08
Original rules filed December 13, 2017; effective 3/13/2018.Authority: T.C.A. § 50-6-202(a)-(c).