Tenn. Code Ann. § 56-7-3715: Related service

(a) A utilization review organization shall not deem as incidental or deny claims for supplies or healthcare services that are routinely used as part of a healthcare service when: (1) A closely related service has received prior authorization; or (2) Prior authorization for the healthcare service is not required. (b) As used in this section, "closely related service" means a similar service to the service allowed by prior authorization and required by the standard of care. Amended by 2023 Tenn. Acts, ch. 395, s 4, eff. 1/1/2025.

(a) A utilization review organization shall not deem as incidental or deny claims for supplies or healthcare services that are routinely used as part of a healthcare service when: (1) A closely related service has received prior authorization; or (2) Prior authorization for the healthcare service is not required.

(1) A closely related service has received prior authorization; or

(2) Prior authorization for the healthcare service is not required.

(b) As used in this section, "closely related service" means a similar service to the service allowed by prior authorization and required by the standard of care.