Part Definitions

1. Law
2. Tennessee Code
3. Insurance
4. Policies and Policyholders
5. Contracts With Health Care Providers
6. Part Definitions

As used in this part, unless the context otherwise requires:

1. “Health care provider” or “provider” means any person or entity performing services regulated pursuant to title 63 or title 68, chapter 11, with whom the health insurance entity has an express and valid network provider agreement or contract;
2. “Health insurance entity” has the same meaning as in § 56-7-109; and
3. “Reasonably accurate” means information determined through application by the health insurance entity of contract rates, fee schedules and reimbursement rules and policies in effect as of the date inquiry is made by the provider.

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