Tennessee
Medical billing services in Tennessee
Medlink Services is a boutique medical billing company based in Paris, Tennessee. You can pick up the phone and talk to the same people about your practice's revenue.
A Tennessee billing team you can call
Paris, TN
Our office is at 1410 Industrial Park Road in Paris, TN. Call 1-888-590-2959 Monday to Friday, 8:00 am to 5:00 pm CST. It is not a call center: you reach the same people each time.
We bill for practices of all sizes and work with any EHR, so there is no need to change your system. Our clients include practices in Jackson, TN and in St. Louis, MO.
“I used to have my billing done through my EHR, but my revenue got worse. Then Medlink came along and increased it considerably.” — Mark, Jackson, TN
Billing in Tennessee
What to know about TennCare and payer rules
State payer rules decide how fast a practice is paid. These points come from TennCare's own pages, linked below. Check each plan's current provider manual before you rely on a deadline.
TennCare claims go through managed care organizations
TennCare's provider page names three managed care organizations (MCOs): BlueCare Tennessee, UnitedHealthcare Community Plan of Tennessee and Wellpoint. Each has its own provider portal.
The filing clock is 120 days for MCO claims
TennCare policy PAY 13-001 (revised June 1, 2022) sets 120 calendar days for claims submitted to an MCO, with exceptions such as retroactive eligibility, third party liability and school-based therapy. Claims filed late are automatically denied.
Appeals start with the plan
When a provider disagrees with a claim outcome, an appeal (a reconsideration) goes to the MCO first. If that does not settle it, a complaint can go to the Tennessee Department of Commerce and Insurance, TennCare Oversight.
Each payer has its own rules
Commercial plans, Medicare and TennCare each have their own filing limits, edits and appeal steps. A billing company should work every payer by its own rules.
Sources
Read it from TennCare
TennCare: claims, appeals and provider complaints (opens in a new tab)
The TennCare provider page on claims and appeals.
TennCare policy PAY 13-001: timely filing (opens in a new tab)
The policy that sets the filing limits by payer type.
Before you choose
Questions to ask any billing company about Tennessee
Use these with Medlink or anyone else you are considering.
Step 1: Which TennCare plans do you bill, and who works each one?
Each MCO has its own portal, authorization rules and appeal process.
Step 2: How do you track the 120-day filing limit?
A missed deadline is an automatic denial, so ask how claims are watched before the window closes.
Step 3: Who works my denials and appeals, and how will I see the results?
Ask for the reports you would receive and how often.
Step 4: Who will I talk to when I call?
At Medlink it is the same people each time.
Frequently asked questions
Talk to a person in Paris, TN
Call 1-888-590-2959, Monday to Friday, 8:00 am to 5:00 pm CST.