Tennessee § 56-6-702 - Purpose.

§ 56-6-702. Purpose.

The purpose of this part is to: Promote the delivery of quality health care in a cost-effective manner; Assure that utilization review agents adhere to reasonable standards for conducting utilization review; Foster greater coordination and cooperation between health care providers and utilization review agents; Improve communications and knowledge of benefit plan requirements among all parties concerned before expenses are incurred; and Ensure that utilization review agents and procedures maintain and safeguard the confidentiality of all health-related records, especially mental health and chemical dependency disorders, in accordance with applicable laws and requirements of nationally recognized review accreditation bodies such as the Health Insurance Portability and Accountability Act (HIPAA) and the utilization review accreditation commission (URAC). Acts 1992, ch. 812, § 3; 2002, ch. 799, § 1. Compiler's Notes. Acts 2002, ch. 799, § 6 provided that nothing in the act shall apply to the TennCare Program. The federal Health Insurance Portability and Accountability Act of 1996 is codified primarily in U.S.C. title 42. Cross-References. Confidentiality of public records, § 10-7-504 . Health insurance portability, availability, and renewability, title 56, ch. 7, part 28. Attorney General Opinions. Due to the definition of utilization review agent, when utilization review is performed pertaining to an health maintenance organization (HMO) enrollee by the enrollee's HMO, such HMO is not covered by Chapter 799 of the Public Acts of 2002, and the requirements of T.C.A § 56-6-701 et seq., OAG 02-127 (11/25/02).