Tennessee § 56-7-602 - Part definitions.

§ 56-7-602. Part definitions.

As used in this part: “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; “Commissioner” means the commissioner of commerce and insurance; “Comparable healthcare service” includes, but is not limited to: Physical and occupational therapy services; Radiology and imaging services; Laboratory services; and Infusion therapy; “Department” means the department of commerce and insurance; “Health plan” means health insurance coverage as defined in § 56-7-109; “Healthcare entity” means: Any healthcare facility licensed under title 33 or 68; and Any healthcare provider licensed under title 63 or 68; “Insurance carrier” or “carrier” means a health insurance entity as defined in § 56-7-109; and “Shopping and decision support program” means the program established by a carrier pursuant to this part. Acts 2019, ch. 407, § 1. Code Commission Notes. Acts 2019, ch. 407, § 1 enacted a new part 35, §§ 56-7-3501 – 56-7-3510 , but the part has been redesignated as part 6, §§ 56-7-601 – 56-7-610 , by authority of the Code Commission. Compiler's Notes. Acts 2019, ch. 407, § 2 provided that the act shall apply to all health plans entered into or renewed on or after January 1, 2020. Effective Dates. Acts 2019, ch. 407, § 2. January 1, 2020; provided that for the purpose of promulgating rules, the act took effect May 21, 2019.