{"data":{"id":"us-tn/tenn.-code-ann.-56-61-105","jurisdiction":"us-tn","citation":"Tenn. Code Ann. § 56-61-105","heading":"Maintenance of register of written records to document grievances","body":"(a) A health carrier shall maintain written records to document all grievances received during a calendar year. The register shall be maintained in a manner that is reasonably clear and accessible to the commissioner. (b) A request for a first level review of a grievance involving an adverse determination shall be processed in compliance with § 56-61-107 and is required to be included in the health carrier's register. (c) A request for a second level review of a grievance involving an adverse determination that may be conducted pursuant to § 56-61-108 shall be included in the health carrier's register. (d) For each grievance, the register shall contain, at a minimum, the following information: (1) A general description of the reason for the grievance; (2) The date the grievance was received; (3) The date of each review or, if applicable, review meeting; (4) The resolution at each level of the grievance, if applicable; (5) The date of resolution at each level, if applicable; and (6) The name of the aggrieved person for whom the grievance was filed. (e) (1) A health carrier shall retain the register compiled for a calendar year for the shorter of five (5) years or until the commissioner has adopted a final report of an examination that contains a review of the register for such calendar year. (2) (A) A health carrier shall submit to the commissioner, at least annually, a report in the format specified by the commissioner. (B) The report shall include for each type of health benefit plan offered by the health carrier: (i) The number of covered lives that fall under this chapter's protections; (ii) The total number of grievances; (iii) The number of grievances for which a covered person and healthcare provider requested a second level voluntary grievance review pursuant to § 56-61-108 ; (iv) The number of grievances resolved at each level, if applicable, and their resolution; and (v) A synopsis of actions being taken to correct problems identified. Acts 2010, ch. 980, § 6.\n(a) A health carrier shall maintain written records to document all grievances received during a calendar year. The register shall be maintained in a manner that is reasonably clear and accessible to the commissioner.\n(b) A request for a first level review of a grievance involving an adverse determination shall be processed in compliance with § 56-61-107 and is required to be included in the health carrier's register.\n(c) A request for a second level review of a grievance involving an adverse determination that may be conducted pursuant to § 56-61-108 shall be included in the health carrier's register.\n(d) For each grievance, the register shall contain, at a minimum, the following information: (1) A general description of the reason for the grievance; (2) The date the grievance was received; (3) The date of each review or, if applicable, review meeting; (4) The resolution at each level of the grievance, if applicable; (5) The date of resolution at each level, if applicable; and (6) The name of the aggrieved person for whom the grievance was filed.\n(1) A general description of the reason for the grievance;\n(2) The date the grievance was received;\n(3) The date of each review or, if applicable, review meeting;\n(4) The resolution at each level of the grievance, if applicable;\n(5) The date of resolution at each level, if applicable; and\n(6) The name of the aggrieved person for whom the grievance was filed.\nerson for whom the grievance was filed.\n(1) A general description of the reason for the grievance;\n(2) The date the grievance was received;\n(3) The date of each review or, if applicable, review meeting;\n(4) The resolution at each level of the grievance, if applicable;\n(5) The date of resolution at each level, if applicable; and\n(6) The name of the aggrieved person for whom the grievance was filed.\n(e) (1) A health carrier shall retain the register compiled for a calendar year for the shorter of five (5) years or until the commissioner has adopted a final report of an examination that contains a review of the register for such calendar year. (2) (A) A health carrier shall submit to the commissioner, at least annually, a report in the format specified by the commissioner. (B) The report shall include for each type of health benefit plan offered by the health carrier: (i) The number of covered lives that fall under this chapter's protections; (ii) The total number of grievances; (iii) The number of grievances for which a covered person and healthcare provider requested a second level voluntary grievance review pursuant to § 56-61-108 ; (iv) The number of grievances resolved at each level, if applicable, and their resolution; and (v) A synopsis of actions being taken to correct problems identified.\n(1) A health carrier shall retain the register compiled for a calendar year for the shorter of five (5) years or until the commissioner has adopted a final report of an examination that contains a review of the register for such calendar year.\n(2) (A) A health carrier shall submit to the commissioner, at least annually, a report in the format specified by the commissioner. (B) The report shall include for each type of health benefit plan offered by the health carrier: (i) The number of covered lives that fall under this chapter's protections; (ii) The total number of grievances; (iii) The number of grievances for which a covered person and healthcare provider requested a second level voluntary grievance review pursuant to § 56-61-108 ; (iv) The number of grievances resolved at each level, if applicable, and their resolution; and (v) A synopsis of actions being taken to correct problems identified.\n(A) A health carrier shall submit to the commissioner, at least annually, a report in the format specified by the commissioner.\n(B) The report shall include for each type of health benefit plan offered by the health carrier: (i) The number of covered lives that fall under this chapter's protections; (ii) The total number of grievances; (iii) The number of grievances for which a covered person and healthcare provider requested a second level voluntary grievance review pursuant to § 56-61-108 ; (iv) The number of grievances resolved at each level, if applicable, and their resolution; and (v) A synopsis of actions being taken to correct problems identified.\n(i) The number of covered lives that fall under this chapter's protections;\n(ii) The total number of grievances;\n(iii) The number of grievances for which a covered person and healthcare provider requested a second level voluntary grievance review pursuant to § 56-61-108 ;\n(iv) The number of grievances resolved at each level, if applicable, and their resolution; and\n(v) A synopsis of actions being taken to correct problems identified.","path":["TN Code","Title 56","Chapter 61"],"source_url":"https://oss-data-us.vaquill.ai/v2026.08/us_tn_statutes.parquet","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:26Z","sha256":"595a028b4d5af06252f50eda5ac5c532970990cede3d5bb1401356c84d2b848f","source_id":"us-tn","stale":false,"prev":"us-tn/tenn.-code-ann.-56-61-104","next":"us-tn/tenn.-code-ann.-56-61-106"},"notice":"GroundRules: Original legal text. Not legal advice."}