A prepaid limited health service organization that subcontracts with another entity to obtain a network of providers to furnish services to members or enrollees shall guarantee and assure the payment of all contracted amounts agreed to be paid to such providers by that entity or that entity's agent. This section does not preclude the prepaid limited health service organization from seeking reimbursement from the subcontractor for any amounts paid pursuant to this section. Nor does this section prevent the prepaid limited health service organization from asserting any legal defenses to the payment of a provider's claim that were available to the subcontractor. This section shall be effective for all provider claims for services delivered after January 1, 2001.
Structure 2021 Tennessee Code
Chapter 51 - Tennessee Prepaid Limited Health Service Organization Act of 2000
§ 56-51-102. Chapter Definitions
§ 56-51-103. Exemption From Tennessee Insurance Code
§ 56-51-104. Insurance Business Not Authorized
§ 56-51-108. Continued Eligibility for Certificate of Authority
§ 56-51-109. Certain Entities Contracting With State Title Xix Agency
§ 56-51-110. Use of English Required in Contracts and Forms
§ 56-51-111. Language Used in Contracts and Marketing Materials
§ 56-51-112. Prepaid Limited Health Service Contracts
§ 56-51-115. Additional Contract Contents
§ 56-51-116. Genetic Information Restrictions
§ 56-51-118. Charter — Bylaw Provisions
§ 56-51-121. Construction of Contracts
§ 56-51-122. Delivery of Contract
§ 56-51-125. Acceptable Payments
§ 56-51-127. Extension of Benefits
§ 56-51-130. Contract Providers
§ 56-51-132. Examination by the Department
§ 56-51-133. Assets, Liabilities, and Investments
§ 56-51-140. Administrative Penalty in Lieu of Suspension or Revocation
§ 56-51-142. Payment of Judgment by Prepaid Limited Health Service Organization
§ 56-51-143. Levy Upon Deposit Limited
§ 56-51-146. Investigative Power of Department
§ 56-51-147. Unfair Methods of Competition, Unfair or Deceptive Acts or Practices Defined
§ 56-51-148. Appeals From the Department
§ 56-51-154. Applicability of Provisions of Chapter 32 of This Title to Successor Organizations