TennCare is the plan on the card. There is no large fee-for-service Medicaid stream to fall back on. TennCare is Tennessee's Medicaid program, and it is delivered by managed-care organizations. The plan on the card is the payer. CoverKids is the CHIP program and is not the same plan. A Kentucky or Georgia Medicaid payer ID will not pay a TennCare member.
TennCare is the plan on the card. There is no large fee-for-service Medicaid stream to fall back on.
TennCare is Tennessee's Medicaid program, and it is delivered by managed-care organizations. The plan on the card is the payer. CoverKids is the CHIP program and is not the same plan. A Kentucky or Georgia Medicaid payer ID will not pay a TennCare member.
Medicare Part A and Part B for a Tennessee practice go to Palmetto GBA, Jurisdiction J, with Alabama and Georgia. North Carolina, Virginia, and Kentucky's eastern neighbor West Virginia use Palmetto Jurisdiction M. Kentucky uses CGS Jurisdiction 15.
Tennessee is not a no-fault state. A work injury is billed to the employer's carrier under the Bureau of Workers' Compensation. It is not a TennCare claim.
TennCare billing is plan billing. A setup copied from a fee-for-service state, with one Medicaid payer ID for every member, does not match Tennessee. The plan name on the card is the whole Medicaid route.
No. TennCare members are in a managed-care plan, and that plan is the payer. CoverKids is separate.
Palmetto GBA, Jurisdiction J. North Carolina uses Palmetto Jurisdiction M. Kentucky uses CGS.
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.
