Section 0800-02-30-.09 - PAYMENTS FROM THE FUND(1) Annually the Bureau shall contract with a Third-Party Claim Administrator to administer UEF claims. The Third-Party Claim Administrator shall request, receive, and review medical records and medical bills and shall submit recommendations to pay temporary disability benefits and medical benefits from the Fund, including attorney fees, via a voucher to the Claim Administrator. The payment of benefits is contingent upon the review and approval by the Bureau Administrator of the Third-Party Administrator's recommendations.(2) Payments for temporary disability benefits and medical benefits shall not be issued unless the Bureau has on file: IRS form W-9 "Request for Taxpayer Identification Number and Certification" for the employee and attorney, if applicable; an expedited or compensation hearing order; and a report from the Claim Administrator recommending payment to medical providers, payment of temporary disability benefits to injured workers, or payment of attorney's fees, and child support liens.(3) The Bureau shall establish that the injured worker, the injured worker's attorney, if applicable, and each medical provider is a vendor in the state system for payments.(4) The UEF benefit coordinator shall maintain in the Bureau's computer system financial records to document payments for contract services, total medical payments made per each injured worker, total disability benefits, monthly benefit payments and payments per fiscal year.(5) Any costs associated with a Third-Party Administrator, along with any other administrative costs, shall be paid from the Fund.(6) All medical bills for services rendered must be submitted within one year of the date of service to the Bureau of Workers' Compensation, Suite 1-B, 220 French Landing Drive, Nashville, Tennessee 37243.Tenn. Comp. R. & Regs. 0800-02-30-.09
Original rules filed January 2, 2019; effective April 2, 2019. Amendments filed February 2, 2022; effective 5/3/2022.Authority: T.C.A. §§ 50-6-801, 50-6-802, and 50-6-803.