Tennessee Prior Authorization Requirements
A guide to prior authorization rules, turnaround times, and laws for medical practices operating in Tennessee (TN).
PA Turnaround Times
Standard Requests
14 calendar days
Urgent / Expedited
72 hours
Key Regulations
- Standard PA turnaround of 14 calendar days
- Urgent requests within 72 hours
Tennessee Medicaid PA
TennCare (Medicaid) uses managed care. PA is administered by MCOs.
Top Payers in Tennessee
BlueCross BlueShield of TennesseeCignaUnitedHealthcareHumana
State Regulatory Body: Tennessee Department of Commerce and Insurance
File PA complaints or appeals through your state insurance department.
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Greenlight knows every payer's PA requirements in Tennessee and checks them automatically before every appointment -- so your staff does not have to.
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