This is a legal form that was released by the Tennessee Department of Commerce and Insurance - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the IN-2002 Provider Complaint?
A: The IN-2002 Provider Complaint is a form used to file a complaint regarding a provider's involvement in Tenncare program episode of care cycle provider gain/risk share.
Q: What is Tenncare?
A: Tenncare is a healthcare program in Tennessee.
Q: What is episode of care cycle provider gain/risk share?
A: Episode of care cycle provider gain/risk share refers to the financial arrangements between providers and Tenncare for certain services provided to beneficiaries.
Q: How can I file a complaint using the IN-2002 form?
A: You can file a complaint using the IN-2002 Provider Complaint form to report any issues or concerns regarding a provider's involvement in the Tenncare program episode of care cycle provider gain/risk share.
Q: What should I do if I have a complaint about a provider in the Tenncare program?
A: If you have a complaint about a provider in the Tenncare program, you should complete the IN-2002 Provider Complaint form and submit it to Tenncare for review.
Q: What happens after I submit the IN-2002 Provider Complaint form?
A: After you submit the IN-2002 Provider Complaint form, Tenncare will review the complaint and take appropriate action based on the findings.
Q: Who can file a complaint using the IN-2002 Provider Complaint form?
A: Anyone who has concerns or issues regarding a provider's involvement in Tenncare program episode of care cycle provider gain/risk share can file a complaint using the IN-2002 form.
Q: Is there a deadline for filing a complaint using the IN-2002 Provider Complaint form?
A: There may be specific deadlines for filing a complaint using the IN-2002 Provider Complaint form. It is advisable to check with Tenncare or refer to the instructions provided with the form for any applicable deadlines.
Q: Are complaints filed using the IN-2002 form kept confidential?
A: Complaints filed using the IN-2002 Provider Complaint form are generally treated as confidential, but it is recommended to review the instructions and guidelines provided with the form for specific information on confidentiality.
Form Details:
Download a fillable version of Form IN-2002 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Commerce and Insurance.