Part 120 External Review Organizations - Application for Approval - Tennessee

What Is Part 120?

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.

FAQ

Q: What is Part 120?
A: Part 120 refers to a section of a regulatory document.

Q: What does Part 120 cover?
A: Part 120 covers the application process for approval of External Review Organizations (EROs) in Tennessee.

Q: What are External Review Organizations?
A: External Review Organizations are independent entities that conduct external reviews of denials of health care services.

Q: What is the purpose of the application for approval?
A: The purpose of the application for approval is to ensure that EROs meet certain requirements to perform external reviews in Tennessee.

Q: Who needs to submit an application for approval?
A: EROs who wish to conduct external reviews in Tennessee need to submit an application for approval.

Q: What are the requirements for approval?
A: The requirements for approval include qualifications, performance standards, conflict of interest requirements, and compliance with applicable laws and regulations.

Q: Who reviews the applications for approval?
A: The applications for approval are reviewed by the Tennessee Department of Commerce and Insurance.

Q: Is there a fee for the application?
A: Yes, there is a fee for submitting the application for approval.