Form HS-2978 Transmittal Authorization - Tennessee

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What Is Form HS-2978?

This is a legal form that was released by the Tennessee Department of Human Services - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HS-2978?
A: Form HS-2978 is a Transmittal Authorization form used in Tennessee.

Q: What is the purpose of Form HS-2978?
A: Form HS-2978 is used to authorize the transmission of medical claims and related documents to the appropriate insurance carrier or payer.

Q: Do I need to fill out Form HS-2978?
A: You may need to fill out Form HS-2978 if you are submitting medical claims or related documents that require authorization for transmission.

Q: Are there any fees associated with Form HS-2978?
A: There are no fees associated with Form HS-2978. It is a free form provided by the Tennessee Department of Health.

Q: Who can help me fill out Form HS-2978?
A: You can seek assistance from your healthcare provider or insurance carrier to fill out Form HS-2978.

Q: Is Form HS-2978 specific to Tennessee?
A: Yes, Form HS-2978 is specific to the state of Tennessee and is used for authorization of medical claim transmission in Tennessee.

Form Details:

Released on November 1, 2019;
The latest edition provided by the Tennessee Department of Human Services;
Easy to use and ready to print;
Quick to customize;
Compatible with most PDF-viewing applications;
Fill out the form in our online filing application.

Download a fillable version of Form HS-2978 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.