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Tenn. Code Ann. § 56-7-602

Part definitions

Known as the Tennessee Insurance Law

The act spans §§ 56–56 (1,220 sections).

Acts 2019, ch. 407, § 1.

As used in this part:

(1) “Allowed amount” means the contractually agreed upon payment amount between a carrier and a healthcare entity participating in the carrier's network, excluding any member deductible, co-pay, or other obligation;

(2) “Commissioner” means the commissioner of commerce and insurance;

(3) “Comparable healthcare service” includes, but is not limited to: Physical and occupational therapy services;

(4) Radiology and imaging services;

(5) Laboratory services; and

(6) Infusion therapy;

(7) “Department” means the department of commerce and insurance;

(8) “Health plan” means health insurance coverage as defined in § 56-7-109;

(9) “Healthcare entity” means: Any healthcare facility licensed under title 33 or 68; and

(10) Any healthcare provider licensed under title 63 or 68;

(11) “Insurance carrier” or “carrier” means a health insurance entity as defined in § 56-7-109; and

(12) “Shopping and decision support program” means the program established by a carrier pursuant to this part.

Current official text: Tennessee Code (LexisNexis). Digitized from the UniCourt Code Improvement Commission public-domain capture. Reproduced from public-domain Tennessee statutes; confirm against the official source for the current text. Not legal advice.