Medical Documentation Necessary For Billing Adjudication

(1) Medical documentation includes all medical reports and records permitted or required in accordance with T.C.A. § 50-6-204(a)(2)(A)-(D). (2) For the purposes of these Rules, requests for medical reports shall not require any releases by the patient pursuant to T.C.A. § 50-6-204(a)(2)(A)-(D). ELECTRONIC MEDICAL BILLING FOR WORKERS’ CHAPTER 0800-02-26 COMPENSATION (3) Any request by the payer for additional documentation to process a medical bill shall conform to the requirements of 0800-02-26-.06(3). (4) It is the obligation of an insurer or employer to furnish its agents with any documentation necessary for the resolution of a medical bill. (5) Health care providers, health care facilities, third-party biller/assignees, and claims administrators and their agents shall comply with all applicable Federal and jurisdictional rules related to privacy, confidentiality, and security.