The Tennessee Utilization Review Closure Form is a document used by health care providers in Tennessee to provide information about a medical care service or procedure that has been completed. The form is used to close out a utilization review, which is an evaluation process used by providers to determine if a particular medical service is medically necessary and appropriate. The form includes information such as the date of service, the patient's diagnosis, the provider's diagnosis, and the outcome of the utilization review. There are two types of Tennessee Utilization Review Closure Form: the Standard Form and the Detailed Form. The Standard Form is used for general reviews and provides basic information about the review, while the Detailed Form is used for more complex reviews and provides more detailed information about the review.