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New law requires transparency in provider-payer disputes

Posted On: Jan. 4, 2023 9:56 AM CST

Disputes between doctors and health insurance companies over covering procedures should become a bit more transparent for patients in Tennessee under a new law effective Jan. 1, reports WPLN. The law, introduced by Rep. Johnny Garrett, R-Goodlettsville, requires the health plan or the doctor to notify a patient within five days that there’s some conflict over payment for the care. It only applies to care that requires pre-approval by the health plan.