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TENNCARE ONLINE SERVICES

Welcome to TennCare Online Services.
Here TennCare providers and trading partners can:

  • Verify TennCare eligibility
  • Enter, review, and submit or adjudicate claims*
  • Upload or download HIPAA transactions*
  • Submit or inquire about pre-admission evaluation status*
  • Use TennCare messaging system

          *Long Term Care Providers

Providers and partners who wish to use this online service
must be a TN.gov Subscriber.
Learn how to subscribe.

If you cannot verify an enrollee's eligibility via this online system, you should contact the enrollee's TennCare MCO.

You may also contact
TennCare Provider Services at 1-800-852-2683 (toll free) or
(615) 741-6669 (Nashville, TN local)

Doctor and Patient
IMPORTANT MESSAGES:

1. Beginning 01/01/2017 TennCare will no longer be mailing paper Remittance Advices. All providers are required to register electronically. Once you have registered you will automatically have the ability to download an electronic PDF version of your RA as well as your current 835. Current registered providers can log into their existing registration record and click on documents and reports. Unregistered providers must register. You can register at http://www.tn.gov/tenncare/topic/provider-registration.

2. For clean claims, please allow a minimum of 30 days for TennCare to process crossover claims after receipt of your Medicare Remittance Advice prior to submitting paper claims.

3. Beginning 01/01/2017, TennCare will no longer be accepting paper claims that are either entirely handwritten or have been corrected/modified with handwritten data. Please refer to www.cms.gov for proper claims submission guidelines.

4. As a reminder, when it is necessary to submit paper claims, please refrain from the use of staples to attach documentation. Paperclips are a preferred alternative.

5. TennCare will deny claims that contain secondary providers (rendering, attending, referring, ordering, operating, etc.) who are not enrolled in the TennCare program as valid and active providers, pursuant to Federal Regulation, 42 CFR Subpart E 455.410(b), the State Medicaid agency must require all ordering or referring physicians or other professionals providing services under the State plan or under a waiver of the plan to be enrolled as participating providers. The claims must also contain the secondary providerís NPI, unless the provider has an atypical provider status.

6. Corrections or modifications to claims that have been previously paid must be performed by submitting an electronic adjustment or via an adjustment form found at: https://www.tn.gov/assets/entities/tenncare/attachments/avform.pdf. Corrections or modifications to previously denied claims can be performed by submitting a new day claim.

LOG IN

Log in here if:
- You are a current subscriber
- You have previously logged in with
  your user ID

FIRST TIME USER OR PASSCODE RESET

Log in here if:
- You are a new subscriber
- You have just reset your passcode

 

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