Request to Commissioner for Independent Review of Disputed Tenncare Claim is a legal document that was released by the Tennessee Department of Commerce and Insurance - a government authority operating within Tennessee.
Q: What is a Request for Independent Review of a Tenncare Claim?
A: A Request for Independent Review is a formal request to the Commissioner of Tennessee for a review of a disputed Tenncare claim.
Q: Who can submit a Request for Independent Review?
A: Any individual or provider who disagrees with a decision made by Tenncare regarding a claim can submit a Request for Independent Review.
Q: How can I submit a Request for Independent Review?
A: You can submit a Request for Independent Review by completing a specific form provided by Tenncare and mailing it to the Commissioner at the address specified on the form.
Q: What information do I need to include in my Request for Independent Review?
A: You should include your name, contact information, the reasons for your dispute, and any supporting documentation or evidence.
Q: What happens after I submit a Request for Independent Review?
A: After receiving your request, the Commissioner will assign an independent reviewer to review your case and make a determination.
Q: How long does the independent review process take?
A: The review process should be completed within 45 days from the date your complete request is received by the Commissioner.
Q: What if I disagree with the outcome of the independent review?
A: If you disagree with the outcome of the independent review, you may have the option to pursue further appeals or legal actions.
Q: Is there a fee to submit a Request for Independent Review?
A: No, there is no fee to submit a Request for Independent Review of a Tenncare claim.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Tennessee Department of Commerce and Insurance.