Learn About The Law
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Current as of January 02, 2024 | Updated by Findlaw Staff
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:
(A) Physical and occupational therapy services;
(B) Radiology and imaging services;
(C) Laboratory services; and
(D) Infusion therapy;
(4) “Department” means the department of commerce and insurance;
(5) “Emergency medical service” means the service used in responding to the perceived individual need for immediate medical care in order to prevent loss of life or aggravation of physiological or psychological illness or injury;
(6) “Health plan” means health insurance coverage as defined in § 56-7-109;
(7) “Healthcare entity” means:
(A) Any healthcare facility licensed under title 33 or 68; and
(B) Any healthcare provider licensed under title 63 or 68;
(8) “Healthcare service”:
(A) Means a service for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease;
(B) Includes a prescription drug or device; and
(C) Does not include an emergency medical service;
(9) “Insurance carrier” or “carrier” means a health insurance entity as defined in § 56-7-109; and
(10) “Shopping and decision support program” means the program established by a carrier pursuant to this part.
Cite this article: FindLaw.com - Tennessee Code Title 56. Insurance § 56-7-602 - last updated January 02, 2024 | https://codes.findlaw.com/tn/title-56-insurance/tn-code-sect-56-7-602/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes, visit FindLaw’s Learn About the Law.
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Search our directory by legal issue
Enter information in one or both fields (Required)