Form IN-2002 Provider Complaint: Tenncare Program Episode of Care Cycle Provider Gain / Risk Share Total Complaint - Tennessee

Form IN-2002 Provider Complaint: Tenncare Program Episode of Care Cycle Provider Gain / Risk Share Total Complaint - Tennessee

What Is Form IN-2002?

This is a legal form that was released by the Tennessee Department of Commerce and Insurance - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the IN-2002 Provider Complaint?A: The IN-2002 Provider Complaint is a form used to file a complaint regarding a provider's involvement in Tenncare program episode of care cycle provider gain/risk share.

Q: What is Tenncare?A: Tenncare is a healthcare program in Tennessee.

Q: What is episode of care cycle provider gain/risk share?A: Episode of care cycle provider gain/risk share refers to the financial arrangements between providers and Tenncare for certain services provided to beneficiaries.

Q: How can I file a complaint using the IN-2002 form?A: You can file a complaint using the IN-2002 Provider Complaint form to report any issues or concerns regarding a provider's involvement in the Tenncare program episode of care cycle provider gain/risk share.

Q: What should I do if I have a complaint about a provider in the Tenncare program?A: If you have a complaint about a provider in the Tenncare program, you should complete the IN-2002 Provider Complaint form and submit it to Tenncare for review.

Q: What happens after I submit the IN-2002 Provider Complaint form?A: After you submit the IN-2002 Provider Complaint form, Tenncare will review the complaint and take appropriate action based on the findings.

Q: Who can file a complaint using the IN-2002 Provider Complaint form?A: Anyone who has concerns or issues regarding a provider's involvement in Tenncare program episode of care cycle provider gain/risk share can file a complaint using the IN-2002 form.

Q: Is there a deadline for filing a complaint using the IN-2002 Provider Complaint form?A: There may be specific deadlines for filing a complaint using the IN-2002 Provider Complaint form. It is advisable to check with Tenncare or refer to the instructions provided with the form for any applicable deadlines.

Q: Are complaints filed using the IN-2002 form kept confidential?A: Complaints filed using the IN-2002 Provider Complaint form are generally treated as confidential, but it is recommended to review the instructions and guidelines provided with the form for specific information on confidentiality.

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Form Details:

  • Released on September 1, 2021;
  • The latest edition provided by the Tennessee Department of Commerce and Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form IN-2002 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Commerce and Insurance.

Download Form IN-2002 Provider Complaint: Tenncare Program Episode of Care Cycle Provider Gain / Risk Share Total Complaint - Tennessee

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