Tennessee Request for Expedited Determination - Appeal of a Denied Prescription

• Category: Tennessee Workers Compensation - Official
• State: Tennessee
• Control #: TN-SKU-1631
• Format: PDF

Description

Request for Expedited Determination - Appeal of a Denied Prescription Tennessee Request for Expedited Determination — Appeal of a Denied Prescription is a form used to submit an expedited appeal if a prescription drug claim has been denied by Tenner. This form is used to request an expedited determination of the appeal so that the claim can be processed in a timely manner. It can be found on the Tenner website and must be completed in full in order to be processed. There are two types of Tennessee Request for Expedited Determination — Appeal of a Denied Prescription: 1. Expedited Appeal Request for Denial of Prior Authorization: This form is used to submit an expedited appeal if a prescription drug claim has been denied due to a prior authorization denial. 2. Expedited Appeal Request for Denial of Medical Necessity: This form is used to submit an expedited appeal if a prescription drug claim has been denied due to medical necessity.

Tennessee Request for Expedited Determination — Appeal of a Denied Prescription is a form used to submit an expedited appeal if a prescription drug claim has been denied by Tenner. This form is used to request an expedited determination of the appeal so that the claim can be processed in a timely manner. It can be found on the Tenner website and must be completed in full in order to be processed. There are two types of Tennessee Request for Expedited Determination — Appeal of a Denied Prescription: 1. Expedited Appeal Request for Denial of Prior Authorization: This form is used to submit an expedited appeal if a prescription drug claim has been denied due to a prior authorization denial. 2. Expedited Appeal Request for Denial of Medical Necessity: This form is used to submit an expedited appeal if a prescription drug claim has been denied due to medical necessity.