TennCare

Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

appeals grievances

TennCare Solutions Unit — member medical appeals

Search or secondary source
Phone800-878-3192TTY phone800-772-7647Fax

888-345-5575

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Tennessee

Mailing address
TennCare Solutions P.O. Box 593 Nashville, TN 37202-0593

Member medical appeals

Members (or their provider as representative) file appeals of MCO adverse benefit determinations with the TennCare Solutions Unit; TennCare Medical Appeal form optional. Source is TennCare MCO provider documents (Wellpoint quick reference guide, BlueCare manual), not a tn.gov page fetched in this task. The BlueCare manual prints the box as P.O. Box 000593.

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

Have ready in your secure workspace

  • Denial notice, remittance and reason codes
  • Previous appeal confirmation and decision
  • Supporting evidence and any required authorization to represent the member

Questions to resolve

  • Is this a claim correction, provider dispute or member appeal?
  • What deadline and submission channel apply to this case?
  • How can the office confirm receipt and track the decision?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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