This version of the form is not currently in use and is provided for reference only. Download this version of Form C-36 (C-37; LB-0375) for the current year.
This is a legal form that was released by the Tennessee Department of Labor and Workforce Development - 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 Form C-36 (C-37; LB-0375)?
A: Form C-36 (C-37; LB-0375) is a form used for Utilization Review Closure in Tennessee.
Q: What is Utilization Review Closure?
A: Utilization Review Closure refers to the process of closing a utilization review case in Tennessee.
Q: Is Form C-36 (C-37; LB-0375) specific to Tennessee?
A: Yes, Form C-36 (C-37; LB-0375) is specific to the state of Tennessee.
Q: What information is required on Form C-36 (C-37; LB-0375)?
A: Form C-36 (C-37; LB-0375) typically requires information about the utilization review case, including details about the patient, provider, and the reason for closure.
Form Details:
Download a printable version of Form C-36 (C-37; LB-0375) by clicking the link below or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.